Pre-operative localization and embolization for jejunal arteriovenous malformation with massive haemorrhage

Br J Radiol. 2007 Aug;80(956):e159-61. doi: 10.1259/bjr/81844727.

Abstract

Arteriovenous malformation of the gastrointestinal tract is relatively rare in adults. The most accurate diagnosis is by angiography and pre-operative localization has been reported, including by coil embolization, catheter or guidewire replacement, and intraoperative staining techniques. We report the case of a 20-year-old man with acute and massive small intestinal haemorrhage due to jejunal ateriovenous malformation, which was embolized immediately with N-butyl-2-cyanoacrylate. The technique is rapid and safe under fluoroscopy control and the method can help surgeons with mini-laparotomy or laparoscopic surgery because of the clear localization and stable condition of the patient.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arteriovenous Malformations*
  • Embolization, Therapeutic / methods*
  • Enbucrilate / analogs & derivatives*
  • Enbucrilate / therapeutic use
  • Gastrointestinal Hemorrhage / therapy*
  • Humans
  • Jejunal Diseases / therapy*
  • Male
  • Preoperative Care / methods

Substances

  • Enbucrilate