Intractable oesophageal variceal bleeding caused by splenic arteriovenous fistula: treatment by transcatheter arterial embolization.
We describe a rare case of splenic arteriovenous fistula and venous aneurysm which developed after splenectomy in a 40-year-old woman who presented with epigastralgia, watery diarrhoea, repeated haematemesis and melaena caused by hyperkinetic status of the portal system and bleeding of oesophageal varices. It was diagnosed by computed tomography and angiography, and obliterated with giant Gianturco steel coils.
Hung
C F
CF
Department of Diagnostic Radiology, Chang Gung Medical Center, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Tseng
J H
JH
Lui
K W
KW
Wan
Y L
YL
Tsai
C C
CC
Shem
C H
CH
Wu
C S
CS
D000328:Adult; D001164:Arteriovenous Fistula / Q000150:complications* / Q000628:therapy; D003967:Diarrhea / Q000209:etiology; D004621:Embolization, Therapeutic / Q000379:methods*; D004932:Esophageal and Gastric Varices / Q000209:etiology* / Q000628:therapy; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000628:therapy; D006396:Hematemesis; D006801:Humans; D008551:Melena / Q000209:etiology; D013156:Splenectomy / Q000009:adverse effects*; D013157:Splenic Artery / Q000002:abnormalities*; D013162:Splenic Vein / Q000002:abnormalities*; D014057:Tomography, X-Ray Computed