Curran D H, McCaughan G, Waugh R, Stephen M
Aust N Z J Med. 1984 Dec;14(6):849-51. doi: 10.1111/j.1445-5994.1984.tb03787.x.
A 59 year old female, who presented with abdominal pain, diarrhea, and ascites, developed major bleeding from esophageal varices. Celiac angiography demonstrated a splenic arterio-venous fistula with early filling of an enlarged splenic vein and esophageal varices (pre-sinusoidal extra hepatic portal hypertension). The patient underwent splenectomy and resection of the fistula with resultant disappearance of the varices and presenting symptoms.
一名59岁女性,出现腹痛、腹泻和腹水症状,并发食管静脉曲张大出血。腹腔动脉造影显示存在脾动静脉瘘,脾静脉增粗并早期显影,同时伴有食管静脉曲张(肝外窦前性门静脉高压)。该患者接受了脾切除术及瘘管切除术,术后静脉曲张及相关症状消失。