Gastric variceal bleeding precipitated by a mycotic splenic arteriovenous fistula in a cirrhotic patient: radiological diagnosis and endovascular treatment.
- Author:
Than Naing TUN
1
;
Sundeep PUNAMIYA
Author Information
1. Department of Diagnostic Radiology, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433. drtntun@gmail.com.
- Publication Type:Case Reports
- MeSH:
Adult;
Angiography;
Arteriovenous Fistula;
diagnostic imaging;
microbiology;
therapy;
Colonoscopy;
Embolization, Therapeutic;
methods;
Esophageal and Gastric Varices;
etiology;
Gastroenteritis;
microbiology;
Gastrointestinal Hemorrhage;
etiology;
Humans;
Liver Cirrhosis;
microbiology;
Male;
Salmonella Infections;
microbiology;
Splenic Artery;
abnormalities;
diagnostic imaging;
Splenic Vein;
abnormalities;
diagnostic imaging;
Tomography, X-Ray Computed
- From:Singapore medical journal
2014;55(11):e180-3
- CountrySingapore
- Language:English
-
Abstract:
Splenic arteriovenous fistula (SAVF) is an unusual cause of portal hypertension, and is rarely associated with an infective aetiology. It is often difficult to identify SAVF clinically, and thus, radiological modalities are invariably required for diagnosis and treatment. We herein describe a case of SAVF occurring in a patient with compensated cirrhosis as a sequel to salmonella gastroenteritis, and presenting with acute gastric variceal bleeding. Selective transcatheter embolisation of the splenic artery was effective in controlling bleeding.
