Presentation
The abdominal lump and bruit were still present but there was no ascites. The haemogram, renal and liver function tests were within normal limits. [ncbi.nlm.nih.gov]
Very recent data based on experimental and clinical research projects are presented. The contributions have all been written by a team of internationally well recognized authorities in the various fields involved. [books.google.com]
Traumatic Aorto-Mesenteric-Portal Fistula Percutaneous management : Case Report Abstract Two months after a stab injury to the abdomen, a 35-year-old male presented at the All India Institute of Medical Sciences with haematemesis, shock and portal hypertension [journals.squ.edu.om]
Furthermore, this book will serve as a teaching guide, providing a present-day introduction to the increasingly sophisticated performance of surgery required by general and specialized surgical practitioners. [books.google.es]
Gastrointestinal Hipertensão Portal Fístula Arteriovenosa Artéria Mesentérica Inferior Data: 1996 Citação: Eur J Gastroenterol Hepatol. 1996 Dec;8(12):1223-5 Resumo: We report a case of portal hypertension associated with a non-traumatic arteriovenous fistula, presenting [rihuc.huc.min-saude.pt]
Entire Body System
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Atrial Septal Defect
The first was the placement of an atrial septal defect occluder across the aortic opening; the potential drawbacks of this technique would have been the possibility of occluding the renal artery origins, and prevention of any subsequent surgical repair [ncbi.nlm.nih.gov]
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Hypothermia
Traumatic aorto-portal vein fistula: Repair using intraperitoneal hypothermia. Am Surg. 1968; 34 :350–3. [ PubMed ] [ Google Scholar ] 5. Raabe R, Lawrence PF, Luers PR, Miller FJ. [ncbi.nlm.nih.gov]
Respiratoric
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Aspiration
References 450 Imaging and Intervention in Gastrointestinal Hemorrhage and Ischemia 453 532 Gastrointestinal Hemorrhage 454 533 Intestinal Ischemia 461 References 467 Imaging and Intervention in Sepsis 471 543 Computed Tomography 472 545 Diagnostic Fluid Aspiration [books.google.com]
A diagnostic paracentesis revealed straw-coloured fluid, and the nasogastric aspirate showed fresh blood. His haemoglobin was 7 g/dl, blood urea 241 mg/dl, serum creatinine 3.5 mg/dl, serum sodium 129 mEq/dl and serum potassium 6.6 mEq/dl. [ncbi.nlm.nih.gov]
Fine-needle aspiration biopsy of PVT can be performed with color Doppler sonographic guidance to assess therapeutic effectiveness. [emedicine.medscape.com]
The agent is left in place from 1 to 24 hours and then aspirated; the balloon is removed. [radiologykey.com]
[…] cyst aspiration fine needle aspiration cytology (FNAC), which is used in many centers for diagnosis of a solid mass large core needle biopsy of a solid mass large core needle biopsy of microcalcifications not visible on ultrasound large core needle biopsy [quizlet.com]
Gastrointestinal
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Abdominal Mass
Characterize abdominal masses and adenopathy with the aid of diffusion-weighted MR imaging. [books.google.com]
Secondary fistulas occur following operations of the left hemicolon and manifest as abdominal pain, abdominal mass, gastrointestinal bleeding, colonic ischemia and portal hypertension. [ncbi.nlm.nih.gov]
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Abdominal Bruit
The abdominal bruit disappeared and the patient had a rapid clinical recovery with resolution of the ascites. The serum biochemistry also showed a gradual but sustained improvement [ Table 1 ]. [ncbi.nlm.nih.gov]
All patients had abdominal bruits. Two patients underwent primary repair. One patient underwent APF resection and replacement of the superior mesenteric artery with autogenous vein. Another patient underwent APF and bowel resection. [jamanetwork.com]
Angiography should be carried out in all patients with portal hypertension, normal liver function, audible abdominal bruit, and traumatic or surgical history. [pmj.bmj.com]
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Severe Abdominal Pain
abdominal pain radiating to the back severe abdominal pain radiating to the right shoulder elevated amylase nausea and vomiting severe abdominal pain radiating to the right shoulder The pancreas is reflective in its sonographic appearance because of [quizlet.com]
Cardiovascular
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Vascular Disease
Mesenteric ischemia Synonyms Mesenteric ischaemia, mesenteric vascular disease Computer tomography (CT) showing dilated loops of small bowel with thickened walls (black arrow), findings characteristic of ischemic bowel due to thrombosis of the superior [en.wikipedia.org]
In non GIT cause such as vascular disease or when the problem cannot be managed laparoscopically, laparotomy is indicated. [wjes.biomedcentral.com]
Skin
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Flushing
Flush abdominal aortogram shows retrograde flow through the arc of Riolan from the IMA to the SMA (arrow), and subsequently to the portal vein via the fistula. Fig. 4. A 9-mm balloon is placed across the origin of the fistula. [members.sirweb.org]
Workup
Through this case report, we hope to highlight awareness of this unusual condition, discuss the diagnostic workup and our management approach. [wjgnet.com]
Serum
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Transaminases Increased
After successful embolisation, the serum transaminases increased [ Table 1 ] and then gradually normalised. This probably happened due to a relative ischaemia secondary to the disruption of arterial blood flow through the portal vein. [ncbi.nlm.nih.gov]
Biopsy
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Liver Biopsy
Liver biopsy revealed mild portal fibrosis without cirrhosis. Three years after surgery the patient still has oesophageal varices but has not had recurrent bleeding. There was regression of intraduodenal varices. [rihuc.huc.min-saude.pt]
Hepatic artery-portal vein fistula formation after percutaneous liver biopsy in a living liver donor. Transplant Proc. 2007;39(5):1707–9. [link.springer.com]
Two APFs developed after percutaneous liver biopsy, but only one was complicated (hemobilia). Neither patient was treated operatively. Four APFs occurred two days to three years after gunshot wounds. [jamanetwork.com]
Treatment
TY - JOUR T1 - Combined transhepatic portal venous and transarterial treatment of superior mesenteric arteriovenous fistula in a patient with cirrhosis. [unboundmedicine.com]
Topics of parti- cular interest include feed-back regulation, new aspects of conservative and interventional treatment as well as modern surgical approaches including organ-preserving procedures. [books.google.com]
Successful treatment of portal hypertension from splenic arteriovenous fistula by coil embolization followed by splenectomy. Ann Gastroenterol. 2013;26(3):257. PubMedCentral PubMed Google Scholar 4. Vammen S, Sandermann J. [link.springer.com]
Posttraumatic complications are discussed, including those arising from treatment. There are also general chapters on patient resuscitation, logistics, and medicolegal issues. [books.google.de]
Prognosis
Portal venous gas is often associated with a dismal prognosis, since it is related to extensive intestinal necrosis in 75% of all the cases [ 2 ]. [em-consulte.com]
Prognosis This depends on the prognosis of the underlying disease, and on the outcome of any complications such as variceal bleeding. [patient.info]
Gas in portal vein is a good predictive factor for diagnosis, management, and prognosis [ 56 ]. In the past the traditional teaching is to operate once you have radiological evidence of PVG. [wjes.biomedcentral.com]
The correct diagnosis and characterization of PVT is important for the prognosis and further treatment. [7] Portal vein tumor thrombosis (PVTT) is a poor prognostic indicator, which is found at diagnosis in 10-40% of patients with hepatocellular carcinoma [emedicine.medscape.com]
Patient’s poor general health and the torrential nature of bleeding are mainly responsible for the dismal prognosis of variceal bleeding. [ncbi.nlm.nih.gov]
Etiology
This volume deals with all aspects of CHRONIC PANCREATITIS including epidemiology, etiology, morphology and pathophysiology, dia- gnostic imaging as well as conservative and operative treat- ment. [books.google.com]
AVFs can occur as a result of blunt or penetrating traumas such as a gunshot or stab wound [ 1, 7 ] or idiopathic etiology [ 3, 4, 5 ]. [astr.or.kr]
Of the wide array of etiologies, mesenteric AVF is very rare, making this particular case of ischemic colitis caused by mesenteric AVF especially notable ( 3 ). [synapse.koreamed.org]
This fistula was of traumatic etiology and resulted in ongoing hemodynamically significant bleeding. [omicsonline.org]
Congenital etiologies often result in the formation of multiple AVFs[ 2 ], which are components of Osler-Weber-Rendu and Ehlers-Danlos syndromes[ 1, 9 ]. [ncbi.nlm.nih.gov]
Epidemiology
This volume deals with all aspects of CHRONIC PANCREATITIS including epidemiology, etiology, morphology and pathophysiology, dia- gnostic imaging as well as conservative and operative treat- ment. [books.google.com]
View Article Google Scholar Alqahtani S, Coffin CS, Burak K, Chen F, MacGregor J, Beck P: Hepatic portal venous gas: a report of two cases and a review of the epidemiology, pathogenesis, diagnosis and approach to management. [wjes.biomedcentral.com]
Pathophysiology
Detailed attention is paid to pathophysiology, clinical symptoms and findings, all relevant imaging modalities and other tests employed to evaluate abdominal injuries at the time of admission of the trauma victim. [books.google.de]
This volume deals with all aspects of CHRONIC PANCREATITIS including epidemiology, etiology, morphology and pathophysiology, dia- gnostic imaging as well as conservative and operative treat- ment. [books.google.com]
"Pathophysiology of Portal Hypertension and Esophageal Varices". International Journal of Hepatology. 2012 : 1–7. doi : 10.1155/2012/895787. PMC 3362051. [en.wikipedia.org]
The pathophysiologic, clinical and diagnostic aspects are explored in order to raise awareness of this rare condition. [ncbi.nlm.nih.gov]
Prevention
Prevention and Control Centre of Disease of Chengdu Military Command Chengdu China 3. Department of Radiology General Hospital of Chengdu Military Command Chengdu China 4. [link.springer.com]
The presence of rapidly accumulating large volume ascites prevented pre-embolisation percutaneous transhepatic occlusion of the junction of the branch vein with the SMV. [ncbi.nlm.nih.gov]
Endoscopic vein ligation - to prevent bleeding of oesophageal varices. [patient.info]
Prevention of recurrent bleeding Once the initial bleeding has ceased, measures are instigated to prevent recurrence. These include prophylactic banding or sclerotherapy and the use of pharmacological agents such as oral β-blockers. [surgwiki.com]
In Asia it is routine to administer IV haptoglobin, which binds free hemoglobin, to prevent hemolysis-induced kidney damage. [radiologykey.com]