title: Early post-traumatic splenic arteriovenous fistula in the pancreatic arcade: Diagnosis by volume-rendered 3D reconstruction images.
abstract: Arteriovenous fistula (AVF) of splenic vessels is rare. It is most commonly caused by spontaneous rupture of an extant splenic artery aneurysm into an adjacent vein, or by traumatic or iatrogenic pseudoaneurysm. Blunt abdominal trauma can sometimes lead to vascular damage to spleen, resulting in AVF formation. Presently described is case of an elderly patient with high-grade splenic injury. Early post-traumatic AVF was detected by volume-rendered 3D reconstruction using fused arterial and venous phase computed tomography (CT) images.
authors.affiliation: Department of Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center, Tokyo-Japan. junya99@tokyo-med.ac.jp.
authors.forename: Junya
authors.initials: J
authors.lastname: Tsurukiri
authors.affiliation: Department of Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center, Tokyo-Japan.
authors.forename: Hidefumi
authors.initials: H
authors.lastname: Sano
authors.affiliation: Department of Emergency and Critical Care Medicine, Tokyo Medical University Hachioji Medical Center, Tokyo-Japan.
authors.forename: Hoshiai
authors.initials: H
authors.lastname: Akira
authors.affiliation: Department of Emergency Medicine, Fukaya Red Cross Hospital, Saitama-Japan.
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Kaneko
mesh_terms: D000007:Abdominal Injuries / Q000150:complications*; D000063:Accidents, Traffic; D000368:Aged; D001164:Arteriovenous Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D008223:Lymphoma; D013154:Spleen / Q000293:injuries*; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications*