These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Coil Embolization of Spontaneous Splenic Arteriovenous Fistula for Treatment of Portal Hypertension.
    Author: Garrett HE, Mack L.
    Journal: Am J Case Rep; 2017 Apr 11; 18():386-390. PubMed ID: 28396581.
    Abstract:
    BACKGROUND Splenic arteriovenous fistula (AVF) is a rare cause of portal hypertension which may manifest with abdominal pain, diarrhea, ascites, and/or hematemesis. Fistula formation may be traumatic or spontaneous. Eighty-six percent of spontaneous splenic AVFs occur in women, and 55% are associated with a preexisting splenic artery aneurysm. CASE REPORT A 64-year-old Caucasian female with unremarkable past medical history presented with new onset of left lower quadrant abdominal pain and persistent diarrhea. CTA demonstrated dilated mesenteric veins consistent with portal hypertension. A 1-cm splenic artery aneurysm associated with a splenic AVF was identified and confirmed by celiac angiography. The splenic artery was embolized both distal and proximal to and within the aneurysm sac. Completion arteriography showed minimal flow throughout the splenic artery, and there was no flow into the splenic AVF. CONCLUSIONS Traditionally, splenectomy has been the definitive treatment, but coil embolization has been recently reported. Successful coil embolization of a splenic AVF is described. Physicians should be aware of this pathology as an etiology of portal hypertension.
    [Abstract] [Full Text] [Related] [New Search]