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脾动脉动静脉瘘导致的食管静脉曲张破裂出血和门静脉高压。

Bleeding esophageal varices and portal hypertension caused by arteriovenous fistula of splenic artery.

作者信息

Shleapnik M, Shpitz B, Siegal A, Dinbar A

机构信息

Department of Surgery B, Meir General Hospital, Kfar Saba, Israel.

出版信息

HPB Surg. 1990;3(1):53-6; discussion 57. doi: 10.1155/1990/49734.

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.

摘要

脾动静脉瘘是门静脉高压症一种罕见但可治愈的病因。本报告描述了一名患有这种疾病的患者,表现为食管静脉曲张出血和腹水。它强调了对所有有门静脉高压迹象但无慢性肝病证据的患者进行腹腔干和肠系膜上动脉选择性插管的重要性。文中还讨论了病因病理及治疗方法。

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