Mesenteric ischemia and portal hypertension caused by splenic arteriovenous fistula.
Splenic arteriovenous fistula is rare and usually presents with features of established portal hypertension (PHT). Presentation as acute mesenteric ischemia with features of acute PHT is uncommon. We report a 35-year-old lady who presented with severe abdominal pain, diarrhea and ascites, which was found to result from mesenteric ischemia and acute PHT secondary to splenic arteriovenous fistula. She underwent resection of fistula, which resulted in complete symptom relief.
Dutta
Usha
U
Departments of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh-160 012, India. ushad@satyam.net.in
Bapuraj
Rajeev
R
Yadav
Thakur Deen
TD
Lal
Anupam
A
Singh
Kartar
K
D000006:Abdomen, Acute / Q000175:diagnosis / Q000209:etiology; D000328:Adult; D001164:Arteriovenous Fistula / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000175:diagnosis*; D007511:Ischemia / Q000150:complications / Q000175:diagnosis*; D008643:Mesentery / Q000098:blood supply*; D018570:Risk Assessment; D013152:Splanchnic Circulation / Q000502:physiology; D013157:Splenic Artery / Q000002:abnormalities*; D013162:Splenic Vein / Q000002:abnormalities*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods