Dutta Usha, Bapuraj Rajeev, Yadav Thakur Deen, Lal Anupam, Singh Kartar
Departments of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh-160 012, India.
Indian J Gastroenterol. 2004 Sep-Oct;23(5):184-5.
Splenic arteriovenous fistula is rare and usually presents with features of established portal hypertension (PHT). Presentation as acute mesenteric ischemia with features of acute PHT is uncommon. We report a 35-year-old lady who presented with severe abdominal pain, diarrhea and ascites, which was found to result from mesenteric ischemia and acute PHT secondary to splenic arteriovenous fistula. She underwent resection of fistula, which resulted in complete symptom relief.
脾动静脉瘘罕见,通常表现为已确立的门静脉高压(PHT)的特征。以急性肠系膜缺血伴急性PHT特征的表现并不常见。我们报告一位35岁女性,她出现严重腹痛、腹泻和腹水,结果发现是由脾动静脉瘘继发的肠系膜缺血和急性PHT所致。她接受了瘘管切除术,症状完全缓解。