Exsanguinating upper GI bleeds due to Unusual Arteriovenous Malformation (AVM) of stomach and spleen: a case report

Khan, Mohammad Iqbal; Baqai, Muhammad Tariq; Baqai, Mohammad Fahd; Mufti, Naveed

doi:10.1186/1749-7922-4-15

Cited by 7 publications

(4 citation statements)

References 21 publications

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“…Arteriovenous malformation of the gastrointestinal tract has been determined as the most common cause of chronic and massive hemorrhage in cases where conventional diagnostic tools failed to reveal the cause of the bleeding (8) . In the present case, successive UDEs failed to detect the focus of bleeding, likewise in other cases reported in the literature (1,3,8) , proving the difficulty in the diagnosis of this condition by means of endoscopy. In the present case, computed tomography angiography and celiac trunk angiography could readily identify AVM in the patient.…”

Section: Introductionsupporting

confidence: 68%

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Malformação arteriovenosa gástrica: tratamento por embolização

Bezerra¹,

Júnior²,

Pereira³

et al. 2012

Radiol Bras

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Sangramento digestivo é causa comum de internação nos serviços de emergência. Hemorragias originadas de malformações arteriovenosas no estômago foram raramente descritas na literatura. O tratamento por embolização oferece boa chance de controle do sangramento. Descrevemos caso de paciente com hematêmese e melena recorrentes, cuja angiografia identificou malformação arteriovenosa na grande curvatura do estômago. Foi realizado tratamento da hemorragia por meio de embolização arterial.

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Section: Introductionsupporting

confidence: 68%

“…Amongst the main etiologies, esophageal varices, gastric ulcers and gastrointestinal neoplasms are highlighted. Bleedings originated from arteriovenous malformations (AVM) in the stomach have been rarely described in the international literature (2,3) .…”

Section: Introductionmentioning

confidence: 99%

Malformação arteriovenosa gástrica: tratamento por embolização

Bezerra¹,

Júnior²,

Pereira³

et al. 2012

Radiol Bras

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“…Arteriovenous malformations of the CA branches that supply the gastrointestinal tract are rare (86-90) and may be asymptomatic or manifest as hematemesis, melena, or iron deficiency anemia (90). Diagnosis based on endoscopy findings may be challenging.…”

Section: Vascular Malformationsmentioning

confidence: 99%

The Celiac Axis Revisited: Anatomic Variants, Pathologic Features, and Implications for Modern Endovascular Management

White¹,

Weir‐McCall²,

Sullivan³

et al. 2015

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The celiac axis (CA) and its branches are critically important arteries that supply blood to the vital solid and hollow abdominal viscera of the foregut. There are many potential anatomic configurations, with up to half the population having a variation from the classic pattern of the CA bifurcating into the hepatosplenic trunk and left gastric artery. These configurations result from permutations in the fusion of the paired dorsal aortas during the first trimester. Despite the short length of the CA, it is affected by a wide range of pathologic conditions, including mesenteric ischemia due to intrinsic occlusion (secondary to causes such as atherosclerosis or thromboembolic events) and extrinsic compression from masses or the median arcuate ligament. Symptoms of mesenteric ischemia are nonspecific and include postprandial abdominal pain and weight loss; thus, the underlying pathologic condition may be found only when being sought specifically. More unusual pathologic conditions include dissection, aneurysms, and vascular malformations. Awareness of the pathologic conditions that affect the CA is important for both diagnostic and interventional radiologists. Early recognition and treatment of CA disease may prevent catastrophic hemorrhage and bowel infarction. Both endovascular and surgical approaches to treatment are greatly enhanced by correct identification of arterial anatomic variants; catheter angiography, computed tomographic angiography, and magnetic resonance angiography can facilitate detection of these variants. Knowledge of the different anatomic permutations is essential to guide endovascular procedures, such as hemorrhage control, transarterial interventional oncologic therapy, and treatment of visceral artery aneurysms. Online supplemental material is available for this article.

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“…Angiodysplasias/vascular malformations comprise about 5 % of nonvariceal upper gastrointestinal bleeds [1]. Bleeding from an AVM often requires surgical intervention [2]. McCrary et al describe a case of gastric AVM that was successfully managed by endoclip application and percutaneous transarterial coil embolization [3].…”

mentioning

confidence: 99%

Duodenal arteriovenous malformation: endosonographic diagnosis and coil embolization

et al. 2016

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Exsanguinating upper GI bleeds due to Unusual Arteriovenous Malformation (AVM) of stomach and spleen: a case report

Abstract: Background: In this paper we are reporting one case of exsanguinating upper gastrointestinal tract (GIT) bleed requiring massive blood transfusion and immediate life saving surgery.

Cited by 7 publications

References 21 publications

Malformação arteriovenosa gástrica: tratamento por embolização

Malformação arteriovenosa gástrica: tratamento por embolização

The Celiac Axis Revisited: Anatomic Variants, Pathologic Features, and Implications for Modern Endovascular Management

Duodenal arteriovenous malformation: endosonographic diagnosis and coil embolization

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