Bleeding Esophageal Varices and Portal Hypertension Caused by Arteriovenous Fistula of Splenic Artery
Author(s) -
Moshe Shleapnik,
Baruch Shpitz,
Annette Siegal,
A Dinbar
Publication year - 1990
Publication title -
hpb surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.561
H-Index - 26
eISSN - 1607-8462
pISSN - 0894-8569
DOI - 10.1155/1990/49734
Subject(s) - medicine , portal hypertension , esophageal varices , ascites , splenic artery , arteriovenous fistula , varices , radiology , fistula , splenic vein , superior mesenteric artery , surgery , gastroenterology , cirrhosis
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.
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