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  • Title: Curative treatment of bleeding esophageal varices secondary to a splenic arterio-venous fistula.
    Author: Curran DH, McCaughan G, Waugh R, Stephen M.
    Journal: Aust N Z J Med; 1984 Dec; 14(6):849-51. PubMed ID: 6335832.
    Abstract:
    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.
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