Document Detail


Portosystemic arteriovenous fistula. Case report.
MedLine Citation:
PMID:  1179935     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A case of the rare portosystemic arteriovenous fistula is presented. This lesion, although basically simple, is not trivial. The predominant cause of death is variceal bleeding. Most often, the fistulas are due to rupture of an aneurysm of the hepatic or splenic artery, gunshot wound of the abdomen, or the use of mass ligature during abdominal surgery. The treatment is excision when possible, reconstruction of the vessels when vessels cannot be sacrificed, and ligation when everything else fails. Angiography is indispensible in defining the fistula. Because of the circulatory strain produced by these fistulas and of the danger of portal hypertension even in the asymptomatic patient, the presence of a portosystemic arteriovenous fistula is sufficient indication for surgical treatment.
Authors:
T Gronmark; G Dingsor-Nilsen; K Solheim
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta chirurgica Scandinavica     Volume:  141     ISSN:  0001-5482     ISO Abbreviation:  Acta Chir Scand     Publication Date:  1975  
Date Detail:
Created Date:  1975-12-23     Completed Date:  1975-12-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7906530     Medline TA:  Acta Chir Scand     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  442-4     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Angiography
Arteriovenous Fistula / surgery*
Humans
Ligation
Male
Middle Aged
Portal System / radiography,  surgery*

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