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Postgrad Med J 1999;75:355-357 doi:10.1136/pgmj.75.884.355
  • Short report

Intractable oesophageal variceal bleeding caused by splenic arteriovenous fistula: treatment by transcatheter arterial embolization

  1. C F Hunga,
  2. J H Tsenga,
  3. K W Luia,
  4. Y L Wana,
  5. C C Tsaia,
  6. C H Shemb,
  7. C S Wub
  1. aChang Gung Medical Center, College of Medicine and School of Medical Technology, Chang Gung University, Taoyuan, Taiwan Department of Diagnostic Radiology, bDepartment of Gastroenterology
  1. Yung-Liang Wan, MD
  • Accepted 7 December 1998

Abstract

We describe a rare case of splenic arteriovenous fistula and venous aneurysm which developed after splenectomy in a 40-year-old woman who presented with epigastralgia, watery diarrhoea, repeated haematemesis and melaena caused by hyperkinetic status of the portal system and bleeding of oesophageal varices. It was diagnosed by computed tomography and angiography, and obliterated with giant Gianturco steel coils.

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