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The Silent Shunt: Traumatic Splenic AV Fistula Revealed and Treated Endovascularly

Gulshan Sharma¹, Resham Singh¹, Puneet Garg¹

¹Department of Radiodiagnosis and Interventional Radiology, Vardhman Mahavir Medical College and Safdarjung Hospital.

Acta Medica Lituanica

|February 9, 2026

Abstract

Background:

Splenic arteriovenous fistula (AVF) is a rare vascular anomaly that can arise from trauma, aneurysmal rupture, or congenital conditions. Prompt diagnosis and management are crucial to preventing complications such as portal hypertension and high-output cardiac failure.

Case Presentation:

We present the case of a 62-year-old male with a traumatic splenic AVF resulting from a road traffic accident (RTA), associated with a Grade IV splenic injury and multiple pseudoaneurysms. The patient underwent successful endovascular coil embolization and experienced an asymptomatic follow-up.

Conclusion:

Endovascular coil embolisation is a minimally invasive and effective first-line treatment for traumatic splenic AVFs, particularly in hemodynamically stable patients, providing excellent outcomes and organ preservation.

Keywords:

arteriovenous fistula endovascular spleen trauma

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