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Portal Hypertension Secondary to a Spontaneous Splenic Arteriovenous Fistula: Case Report and Review of the Literature
Authors:Robert D McClary  MD    D Scott Finelli  MD    Byron Croker  MD  Gary L Davis  MD
Institution:Division of Gastroenterology, Hepatology, and Nutrition, Department of Medicine;and the Department of Pathology, University of Florida College of Medicine, Gainesville, Florida
Abstract:A 66-yr-old woman developed diarrhea, abdominal pain, and ascites which was subsequently discovered to be secondary to portal hypertension resulting from a splenic arteriovenous fistula. Splenectomy resulted in reduction of the portal pressure and resolution of the patient's symptoms. The literature pertaining to splenic arteriovenous fistulas with portal hypertension is discussed.
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