Detection and Intervention of Clinically Masquerading Inferior Mesenteric Artery AVMs

Author:

Pakray Amir1ORCID,Hayden Nolan2,Sokhandon Farnoosh1,Olsen Johnathan3

Affiliation:

1. Department of Diagnostic Radiology, Beaumont Hospital, Royal Oak, MI, USA

2. Central Michigan University College of Medicine, Mount Pleasant, MI, USA

3. Department of Diagnostic Radiology and Interventional Radiology, Beaumont Hospital, Royal Oak, MI, USA

Abstract

We demonstrate a rare case of inferior mesenteric artery arteriovenous malformations leading to ischemic colitis in a 76-year-old female. Our patient presented with three months of nausea, vomiting, and diarrhea. Colonoscopy displayed diffuse mucosal vascular congestion while CTA and MRA displayed AVMs in the region of the IMA; however, cohesive clinical agreement on AVM from multiple specialties was difficult given its rare occurrence and nonspecific clinical, histopathologic, and directly visualized findings. The three noted dominant AVMs were eventually selected with coil and liquid embolization with successful cessation of symptoms and no major complications. Our discussion focuses on intervention and stressing the importance of radiologic findings, as IMA AVMs, rarely present as ischemic colitis and therefore can clinically masquerade as other etiologies.

Publisher

Hindawi Limited

Subject

General Medicine

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