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Splenic aneurysm with arteriovenous fistula. A case report
D Kelekis1, E N Brountzos, N Kelekis
1Eugenidion University Hospital, Athens.
Hepato-Gastroenterology
|July 1, 1995
Summary
A rare case of splenic artery-vein fistula, identified via computed tomography and aortogram in a woman with abdominal pain, was successfully treated with surgical resection and splenectomy.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Radiology
Background:
- Fistulous communication between the splenic artery and vein is an uncommon vascular anomaly.
- This case highlights a rare presentation of this condition.
Observation:
- A 50-year-old woman presented with abdominal pain and diarrhea.
- Diagnostic workup included physical examination, laboratory tests, computed tomography, and aortogram.
Findings:
- A 5x5 cm splenic artery aneurysm was identified.
- A fistulous tract connected the splenic artery aneurysm to the splenic vein.
Implications:
- Surgical resection of the affected splenic artery and vein, along with splenectomy, provided a successful treatment outcome.
- This case underscores the importance of considering rare vascular anomalies in the differential diagnosis of abdominal pain.
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