[一例脾动静脉瘘合并门静脉高压患者以难治性腹水和腹泻为首发症状]

[A case of a patient with splenic arteriovenous fistula associated with portal hypertension who developed refractory ascites and diarrhea as initial symptom].

作者信息

Hino Naoyuki, Matsuzaki Toshihisa, Komatsu Naohiro, Akiyama Motohisa, Ozawa Eisuke, Miuma Satoshi, Takeshita Shigeyuki, Otani Masashi, Miyaaki Hisamitsu, Taura Naota, Yamaguchi Naoyuki, Onita Ken, Ichikawa Tatsuki, Isomoto Hajime, Takeshima Fuminao, Nakao Kazuhiko

机构信息

Department of Gastroenterology and Hepatology, Nagasaki University, Japan.

出版信息

Nihon Shokakibyo Gakkai Zasshi. 2013 Jun;110(6):1038-43.

PMID:23739737

Abstract

A 55-year-old woman was admitted to our hospital because of diverse symptoms of portal hypertension, such as refractory ascites, diarrhea, and general malaise. Blood test revealed liver and renal dysfunction and glucose tolerance. Contrast enhancement computed tomography revealed splenic arteriovenous fistula with dilated splenic artery and vein, causing portal hypertension. The splenic arteriovenous fistula was successfully treated by percutaneous transarterial embolization, resulting in the complete recovery of the patient. Herein, we report a case of arteriovenous fistula which was successfully treated with the aid of interventional radiology.

摘要

一名55岁女性因门静脉高压的多种症状，如难治性腹水、腹泻和全身不适，入住我院。血液检查显示肝肾功能不全和糖耐量异常。增强CT显示脾动静脉瘘，脾动脉和静脉扩张，导致门静脉高压。经皮经动脉栓塞术成功治疗了脾动静脉瘘，患者完全康复。在此，我们报告一例借助介入放射学成功治疗的动静脉瘘病例。