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. 1990;3(1):53–57. doi: 10.1155/1990/49734

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

Moshe Shleapnik 1, Baruch Shpitz 1, Annette Siegal 1,2, Alex Dinbar 1,3,
PMCID: PMC2442985  PMID: 2090191

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.

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