ArticleJournal of vascular surgery cases and innovative techniques2026
Superior mesenteric arteriovenous fistula mimicking abdominal aortic aneurysm, treated with a single vascular plug.
Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Superior mesenteric arteriovenous fistula (SMAVF) is a rare postoperative vascular abnormality that can mimic more common causes of pulsatile abdominal masses. We report the case of a 49-year-old man with a history of laparotomy for volvulus 20 years earlier who presented with a pulsatile epigastric mass. Computed tomography angiography identified a 10 × 12 mm SMAVF, confirmed on angiography. Endovascular closure using a single Amplatzer vascular plug achieved complete occlusion without complications. This case underscores the importance of considering SMAVF in patients with atypical abdominal pulsations and highlights the effectiveness of a minimally invasive, single-device endovascular approach.
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