Intractable oesophageal variceal bleeding caused by splenic arteriovenous fistula: treatment by transcatheter arterial embolization

C F Hung; J H Tseng; K W Lui; Y L Wan; C C Tsai; C H Shem; C S Wu

doi:10.1136/pgmj.75.884.355

Intractable oesophageal variceal bleeding caused by splenic arteriovenous fistula: treatment by transcatheter arterial embolization

Postgrad Med J. 1999 Jun;75(884):355-7. doi: 10.1136/pgmj.75.884.355.

Authors

C F Hung¹, J H Tseng, K W Lui, Y L Wan, C C Tsai, C H Shem, C S Wu

Affiliation

¹ Department of Diagnostic Radiology, Chang Gung Medical Center, College of Medicine, Chang Gung University, Taoyuan, Taiwan.

Abstract

We describe a rare case of splenic arteriovenous fistula and venous aneurysm which developed after splenectomy in a 40-year-old woman who presented with epigastralgia, watery diarrhoea, repeated haematemesis and melaena caused by hyperkinetic status of the portal system and bleeding of oesophageal varices. It was diagnosed by computed tomography and angiography, and obliterated with giant Gianturco steel coils.

Publication types

Case Reports

MeSH terms

Adult
Arteriovenous Fistula / complications*
Arteriovenous Fistula / therapy
Diarrhea / etiology
Embolization, Therapeutic / methods*
Esophageal and Gastric Varices / etiology*
Esophageal and Gastric Varices / therapy
Female
Gastrointestinal Hemorrhage / etiology*
Gastrointestinal Hemorrhage / therapy
Hematemesis
Humans
Melena / etiology
Splenectomy / adverse effects*
Splenic Artery / abnormalities*
Splenic Vein / abnormalities*
Tomography, X-Ray Computed