Document Detail


Splenic arteriovenous fistula.
MedLine Citation:
PMID:  6966723     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A patient with an uncalcified splenic artery aneurysm with an arteriovenous fistula and aneurysmal dilatation of the splenic vein who underwent splenectomy and resection of the fistula is described. Splenic arteriovenous fistulas are rare and are usually associated with aneurysms of the splenic artery. Patients with these fistulas frequently have signs and symptoms of portal hypertension and may often present with upper gastrointestinal hemorrhage. The patient described in this report was asymptomatic, and the only manifestation of the fistula was a loud, continuous bruit in the left flank noted on routine physical examination. Although an upper abdominal incision can be used to manage most splenic artery aneurysms, a left thoracoabdominal incision is advocated in the presence of an arteriovenous fistula, particularly in anticipation of portal hypertension or aneurysm of the splenic vein.
Authors:
D B Williams; W S Payne; W T Foulk; C M Johnson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Mayo Clinic proceedings     Volume:  55     ISSN:  0025-6196     ISO Abbreviation:  Mayo Clin. Proc.     Publication Date:  1980 Jun 
Date Detail:
Created Date:  1980-08-15     Completed Date:  1980-08-15     Revised Date:  2013-12-13    
Medline Journal Info:
Nlm Unique ID:  0405543     Medline TA:  Mayo Clin Proc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  383-6     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Arteriovenous Fistula / complications,  diagnosis*
Female
Gastrointestinal Hemorrhage / etiology
Humans
Hypertension, Portal / etiology
Middle Aged
Splenic Artery*
Splenic Vein*
Ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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