Bleeding esophageal varices and portal hypertension caused by arteriovenous fistula of splenic artery.
Splenic arteriovenous fistula is a rare but curable cause of portal hypertension. This report describes a patient with such a disorder, presenting with bleeding esophageal varices and ascites. It emphasises the importance of performing selective catheterization of the celiac and superior mesenteric artery in all patients with signs of portal hypertension without evidence of chronic liver disease. Etiopathology and management are discussed.
Shleapnik
M
M
Department of Surgery B, Meir General Hospital, Kfar Saba, Israel.
Shpitz
B
B
Siegal
A
A
Dinbar
A
A
D001164:Arteriovenous Fistula / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D004932:Esophageal and Gastric Varices / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D011859:Radiography; D015911:Sclerotherapy; D013157:Splenic Artery / Q000000981:diagnostic imaging / Q000601:surgery; D013162:Splenic Vein / Q000000981:diagnostic imaging / Q000601:surgery