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We report a case of a 68-year-old female patient presenting with portal hypertension and variceal bleeding in the absence of any liver disease. After performing a computed tomography angiogram, the cause of her condition was identified to be a splenic arteriovenous fistula (SAVF). After confirming the findings with angiography, we opted to treat the condition with coil embolization as an alternative to a more invasive surgical treatment. Coil embolization of the SAVF was performed successfully resulting in the improvement of the patient's variceal congestion. Our case highlights the importance of identifying SAVF as a potentially curable cause of variceal bleeding in the absence of liver disease. Seeking this diagnosis is of utmost importance since it completely changes the endovascular approach and management of these patients with variceal bleeding. We describe a minimally invasive endovascular technique for treatment of these critically ill patients.

We describe a 56-year-old man with an intrasellar craniopharyngioma who underwent transphenoidal resection and abdominal fat grafting of the dural opening. Follow-up MRI showed hypertrophy of the sellar fat graft concurrent with the patient's weight gain. To our best of knowledge sellar fat graft hypertrophy has not been reported before.

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Introduction: Accidental foreign body ingestion is commonly encountered in clinical practice. Foreign bodies in the appendix are also well recognized but are very uncommon, as the majority of the ingested foreign bodies pass through the whole gastrointestinal tract without complications. Acute appendicitis due to a foreign body is a diagnostic dilemma; for which computed tomography is considered the method of choice for preoperative diagnosis. Case Report: We are presenting a case of a 49-year-old gentleman who had small bowel perforation due to appendicular foreign body which initially presented with a clinical picture of acute appendicitis. Conclusion:The low index of suspicion and prompt action are needed to reach a favorable outcome.