Delayed presentation of traumatic splenic arterio-venous fistula.

We report a patient who presented with dyspnoea and was found on examination to have a machinery murmur in the left upper quadrant of the abdomen. The patient had sustained blunt abdominal trauma one year prior to presentation. A diagnosis of splenic arteriovenous fistula was made. The diagnosis and management of delayed presentation of traumatic splenic arteriovenous fistula are discussed.