Gastric variceal bleeding precipitated by a mycotic splenic arteriovenous fistula in a cirrhotic patient: radiological diagnosis and endovascular treatment

Tun, Than Naing; Punamiya, Sundeep

doi:10.11622/smedj.2014166

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…Currently, percutaneous arterial embolization is the treatment of choice for SAVF since it is less invasive, less costly, less risky and more rapidly performed with preservation of the spleen and its immunologic function 57–65. Complications include splenic infarction, abscess or rupture and risks are higher with complete ablation compared to segmental ablation 65. Open surgery is now reserved for patients with complications, chronic kidney disease, or with failure of embolization 59.…”

Section: Splenic Arteriovenous Fistulamentioning

confidence: 99%

“… 57 – 65 Complications include splenic infarction, abscess or rupture and risks are higher with complete ablation compared to segmental ablation. 65 Open surgery is now reserved for patients with complications, chronic kidney disease, or with failure of embolization. 59 It may either be by surgical ligation or resection of the fistula with aneurysmorrhaphy or splenectomy.…”

Section: Splenic Arteriovenous Fistulamentioning

confidence: 99%

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Vascular Diseases of the Spleen: A Review

Francisco

Trivedi

et al. 2017

Journal of Clinical and Translational Hepatology

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Vascular diseases of the spleen are relatively uncommon in the clinical practice. However, the reported incidence has been progressively increasing, probably due to advances in the imaging modalities used to detect them. This disease condition often presents with non-specific clinical manifestations, but can be associated with significant morbidity and mortality. This review article aims to provide updated clinical information on the different vascular diseases of the splenic vasculature—splenic vein thrombosis, splenic vein aneurysm, splenic artery aneurysm, splenic arteriovenous fistula, and spontaneous splenorenal shunt—in order to aid clinicians in early diagnosis and management.

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Section: Splenic Arteriovenous Fistulamentioning

confidence: 99%

Section: Splenic Arteriovenous Fistulamentioning

confidence: 99%

Vascular Diseases of the Spleen: A Review

Francisco

Trivedi

et al. 2017

Journal of Clinical and Translational Hepatology

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“…Although, up to 33.5% mortality rate has been reported in the literature for variceal bleeding. 5,6 For our case, there was left epigastric tenderness on the physical examination of the abdomen. By doing interval physical examinations throughout the hospitalization period, it had been noticed that abdominal complaints of the patient had deceased within the days.…”

Section: Discussionmentioning

confidence: 76%

Conservative Approach in a 47-Year-Old Male Patient with Incidental Extensive Splenic Arteriovenous Fistula

Sönmez¹,

Gök²,

Abbasov³

et al. 2018

Turkiye Klinikleri J Case Rep

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“…In a wide range of reports, congenital type accounts for 20%, while acquired type accounts for 80%. In the latter form, most cases are related to trauma, splenectomy, and splenic aneurysm rupture [ 6 ], and fewer are associated with fungal emboli, malignant lymphoma, and pancreatectomy [ 7 – 9 ]. Among them, the incidence of splenectomy is more insidious; onset occurs about 5–20 years after splenectomy, with the longest being 23 years [ 10 ].…”

Section: Discussionmentioning

confidence: 99%