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. 1999 Jun;75(884):355–357. doi: 10.1136/pgmj.75.884.355

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

C Hung 1, J Tseng 1, K Lui 1, Y Wan 1, C Tsai 1, C Shem 1, C Wu 1
PMCID: PMC1741243  PMID: 10435172

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.


Keywords: splenic arteriovenous fistula; gastrointestinal bleeding; transcatheter arterial embolization

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