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HPB Surgery
Volume 3 (1990), Issue 1, Pages 53-57
http://dx.doi.org/10.1155/1990/49734

Bleeding Esophageal Varices and Portal Hypertension Caused by Arteriovenous Fistula of Splenic Artery

1Department of Surgery ‘B’, Meir General Hospital, Kfar Saba, and the Tel Aviv University Sackler Faculty of Medicine, Tel Aviv, Israel
2Department of Pathology, Meir General Hospital, Kfar Saba, and the Tel Aviv University Sackler Faculty of Medicine, Tel Aviv, Israel
3Head, Department of Surgery ‘B’, Meir General Hospital, Kfar Saba 44 281, Israel

Received 7 February 1990; Accepted 7 February 1990

Copyright © 1990 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.