Watson W D, Bonta M J, Bush C R
Angiology. 1986 Jan;37(1):36-40. doi: 10.1177/000331978603700106.
A case of splenic arteriovenous fistula leading to portal hypertension and ascites is presented. The recognition of this vascular lesion is important. When portal hypertension is secondary to a splenic arteriovenous fistula, the complications of portal hypertension can be avoided by the resection of the lesion. The diagnosis can be suspected by clinical findings and confirmed by angiographic delineation of the fistula. Surgical resection of splenic arteriovenous fistulae must include the fistula and all dilated venous tributaries to prevent thrombosis and recurrent portal hypertension.
本文报道一例脾动静脉瘘导致门静脉高压和腹水的病例。认识这种血管病变很重要。当门静脉高压继发于脾动静脉瘘时，通过切除病变可避免门静脉高压的并发症。根据临床表现可怀疑诊断，并通过瘘管的血管造影描绘得以证实。脾动静脉瘘的手术切除必须包括瘘管和所有扩张的静脉分支，以防止血栓形成和复发性门静脉高压。
