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A short case of a splenic arteriovenous fistula coexisting with portal hypertension secondary to hepatitis C: Radiologic diagnosis and treatment
Authors:CR Azar  AO Al-Kutoubi  FH Mourad
Affiliation:1. Departments of Internal Medicine and;2. Diagnostic and Interventional Radiology, American University of Beirut Medical Center, Beirut, Lebanon
Abstract:Splenic arteriovenous fistula (SAVF) is a rare but potentially curable condition. Only a few cases have been reported in the English literature. SAVF can cause portal hypertension, ascites, gastrointestinal bleeding, and heart failure. An early diagnosis is essential to avoid life threatening complications. We hereby present a case of SAVF in a young female patient, with hepatitis C liver cirrhosis who presented with recurrent severe upper gastrointestinal bleeding. Such an association of liver cirrhosis and SAVF has not been previously reported.
Keywords:Splenic Arteriovenous Fistula  Esophageal Variceal Bleeding  Transjugular Intrahepatic Portosystemic Shunt  Portal Hypertension  Liver Cirrhosis  Embolization
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