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CURATIVE TREATMENT OF BLEEDING ESOPHAGEAL VARICES SECONDARY TO A SPLENIC ARTERIO‐VENOUS FISTULA
Author(s) -
CURRAN D. H.,
McCAUGHAN G.,
WAUGH R.,
STEPHEN M.
Publication year - 1984
Publication title -
australian and new zealand journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 0004-8291
DOI - 10.1111/j.1445-5994.1984.tb03787.x
Subject(s) - medicine , esophageal varices , varices , fistula , splenic vein , splenectomy , ascites , portal hypertension , angiography , surgery , radiology , varix , cirrhosis , spleen
A 59 year old female, who presented with abdominal pain, diarrhea, and ascites, developed major bleeding from esophageal varices. Celiac angiography demonstrated a splenic arterio‐venous fistula with early filling of an enlarged splenic vein and esophageal varices (pre‐sinusoidal extra hepatic portal hypertension). The patient underwent splenectomy and resection of the fistula with resultant disappearance of the varices and presenting symptoms.