Posttraumatic intrapancreatic aortosplenic fistula causing portal hypertension |
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Authors: | Estrada Oscar Mestres Carlos-A López-Boado Miguel-A Salmerón Juan A Visa José García-Valdecasas Juan-Carlos |
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Institution: | Department of General Surgery, Hospital Clinic, University of Barcelona, Barcelona, Spain. |
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Abstract: | Arterioportal fistulas are uncommon. The case of a patient with massive uncontrollable esophageal variceal bleeding is presented. Reversible portal hypertension was caused by a posttraumatic giant intrapancreatic aortosplenic fistula. Percutaneous closure was unsuccessful, and pancreatectomy was performed to control the bleeding. The case is discussed and the literature on this exceptional cause of portal hypertension is reviewed. |
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