[Unusual cause of digestive hemorrhage in chronic hemodialysis patients: splenic aneurysm with arteriovenous fistula].
A 45 years old woman, hemodialysed since 1981, with an history of Staphylococcal septicemia in may 1983, is admitted in emergency room in may 1984 for massive gastro intestinal bleeding. After oesogastro fibroscopy suspecting duodenal ulcer, because continuous and recurrent bleeding, a laparotomy find only symptoms of portal hypertension (ascites, venous dilatation on abdominal oesophagus and stomach). The ligation of this venous dilatations stop temporarily the gastro intestinal bleeding. But recurrence of this bleeding conduct to a celiac angiography discovering a splenic aneurysm with arterio venous fistula. The surgical treatment of this aneurysm can stop the gastro intestinal bleeding. Histopathologic observation of this aneurysm can suspect an infectious origin.
D001164:Arteriovenous Fistula / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects*; D013157:Splenic Artery / Q000473:pathology; D013162:Splenic Vein
Une cause exceptionnelle d'hémorragies digestives chez l'hémodialysé chronique: l'anévrysme splénique, avec communication artério-veineuse.