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Digestive Diseases and Sciences

, Volume 41, Issue 4, pp 816–819 | Cite as

Splenic arteriovenous fistula

A rare lesion causing bleeding esophageal varices, ascites, and diarrhea
  • Greg Galler
  • Anthony Yim
  • Jean C. Emond
  • Everett Kirch
  • David Yousefzadeh
  • Alfred L. Baker
Liver: Cirrhosis, Fibrosis, Portal Hypertension, and Transplantation Case Report

Summary

We report the case of a 39-year-old woman with portal hypertension caused by a splenic arteriovenous fistula that was diagnosed by Doppler ultrasound and splenic arteriography. She presented with esophageal variceal hemorrhage and was initially treated with sclerotherapy. Ascites and secretory diarrhea then developed. At laparotomy portal pressure was 60 cm H2O but fell to 26 cm H2O after the fistula was resected with a splenectomy. All symptoms disappeared shortly thereafter, and the patient has remained well for the past two years.

Key Words

diarrhea arteriovenous fistula portal hypertension 

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Copyright information

© Plenum Publishing Corporation 1996

Authors and Affiliations

  • Greg Galler
    • 1
  • Anthony Yim
    • 1
  • Jean C. Emond
    • 1
  • Everett Kirch
    • 1
  • David Yousefzadeh
    • 1
  • Alfred L. Baker
    • 1
  1. 1.Liver Study Unit of the Department of Medicine, and Department of SurgeryUniversity of Chicago HospitalsChicago

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