Carrillo-Martínez MÁ, Salinas-Sepúlveda JH, Téllez-Martínez L,Rodríguez-Baca AB

Language: Spanish
References: 7
Page: 51-55
PDF size: 483.61 Kb.

ABSTRACT

Fibromuscular dysplasia is a non-aterosclerotic and non-inflammatory vascular disease that can appear in any artery, although it is rarely found in visceral arteries. In this case report we present a patient age 46 years who was admitted with rectal tenesmus, perineal pain, and rectorrhagia. Thickening of the rectal wall and perirectal inflammation were identified by means of tomography and resonance. A mesenteric angiography was performed, in which we observed increased size of rectal arteries and inverted venous circulation, with slow flow suggestive of arteriovenous malformation.
The patient was taken to the operating theater for resection of rectum. The anatomopathological examination reported ischemic colitis and changes due to fibromuscular dysplasia in the rectal arteries.

REFERENCES

1. Slovut DP, Olin JW. Fibromuscular dysplasia. The New England Journal of Medicine 2004;350(18):1862-1872.

2. Yamaguchi R, Yamaguchi A, Isogai M, Hori A, Kin Y. Fibromuscular dysplasia of the visceral arteries. American Journal of Gastroenterology 1996;91(8):1636-1638.

3. Quirke P, Campbell I, Talbot IC. Ischaemic proctitis and adventitial fibromuscular dysplasia of the superior rectal artery. British Journal of Surgery 1984;71:33-38.

4. Olin JW, Brett AS. Diagnosis, management, and future developments of fibromuscular dysplasia. Journal Of Vascular Surgery 2011;53:826-836.

5. Touze E, Oppenheim C, Trystram D et al. Fibromuscular dysplasia of cervical and intracranial arteries. Int J Stroke 2010;5:296-305.

6. Khan AN. Fibromuscular Dysplasia Imaging. http://emedicine. medscape.com/article/423966-overview

7. Srinivasan A, Krishnamurthy G, Cahill A, et al. Spectrum of renal findings in pediatric fibromuscular dysplasia and neurofibromatosis type 1. Pediatric Radiology 2011;41(3):308-316.