Splenic aneurysm with arteriovenous fistula. A case report.

BACKGROUND/AIM: Fistulous communication between the splenic artery and the vein is rare. We present one such case.

PATIENT AND METHODS

A 50 year old woman was admitted to the hospital complaining of abdominal pain and diarrhea, both unrelated to the meals. Physical examination, laboratory testing, computed tomography, and aortogram were performed.

RESULTS

The patient was treated by surgical resection of splenic artery and vein, as well as with splenectomy. Pathological examination showed a 5x5 cm aneurysm of the splenic artery that was connected to the splenic vein through a fistulous tract.