A rare case of gastric varices and splenic artery aneurysm secondary to splenic arteriovenous fistula

被引：2

作者：

Zhou, Felix ^{[1
]}

Lightfoot, Christopher B. ^{[2
]}

Williams, Geoff ^{[3
]}

Zhu, Julie H. ^{[3
]}

机构：

[1] Dalhousie Univ, Dept Med, 1799 Robie St, Halifax, NS B3H 3A7, Canada

[2] Dalhousie Univ, Dept Diagnost Radiol, Halifax, NS, Canada

[3] Dalhousie Univ, Dept Med, Div Digest Care & Endoscopy, Halifax, NS, Canada

来源：

CANADIAN LIVER JOURNAL | 2021年

关键词：

arteriovenous fistula; gastric varices; splenic artery aneurysm; PORTAL-HYPERTENSION; EMBOLIZATION;

D O I：

10.3138/canlivj-2021-0024

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

A 33-year-old male with no past medical history presented with a few months of fatigue and reduced exercise tolerance and was found to have iron-deficiency anemia. An esophagogastroduodenoscopy revealed a cluster of isolated gastric fundal varices with high-risk stigmata. Serologic workup for cirrhosis was negative, and a FibroScan measured liver stiffness at 4.2 kilopascals. Computed tomography (CT) of his abdomen and pelvis showed non-cirrhotic portal hypertension, as well as the presence of a splenic arteriovenous (AV) fistula and splenic artery aneurysm (SAA). Resection of the fistula, SAA, and spleen completely resolved the gastric varices and anemia.

引用

页码：160 / 164

页数：5

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