Shleapnik M, Shpitz B, Siegal A, Dinbar A
Department of Surgery B, Meir General Hospital, Kfar Saba, Israel.
HPB Surg. 1990;3(1):53-6; discussion 57. doi: 10.1155/1990/49734.
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.
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。