脾切除术后脾动静脉瘘的诊断与治疗

刘莹莹; 杜鹏; 包文霞; 李岭

doi:10.3760/cma.j.issn.1673-9752.2014.12.018

脾切除术后脾动静脉瘘的诊断与治疗

215006，苏州大学附属第一医院消化内科

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出版历程

Diagnosis and treatment of splenic arteriovenous fistula after splenectomy

Department of Gastroenterology, the First Affiliated Hospital of Soochow University, Suzhou 215006, China

摘要

摘要:
脾动静脉瘘临床罕见，容易误诊。脾动静脉瘘临床上可表现为门静脉高压症、食管胃底静脉曲张、消化道出血、腹泻、腹痛、腹腔积液、呼吸障碍、心脏衰竭等。2014年4〖KG-*2〗-〖KG-*5〗5月苏州大学附属第一医院收治1例脾切除术后脾动静脉瘘患者，经多学科讨论由介入放射科协助，运用脾动脉栓塞术+腹腔动脉造影术成功治疗该例脾动静脉瘘患者，术后2个月复查腹部增强CT示腹腔积液消失，门静脉高压症症状消失，肝肾功能恢复正常。
- 脾动静脉瘘 /
- 介入治疗 /
- 经皮动脉栓塞 /
- 脾切除术
Abstract:
Splenic arteriovenous fistula is a rare disease and is also easy to be misdiagnosed. Clinical manifestations of the splenic arteriovenous fistula include portal hypertension, esophageal gastric varices, gastro intestinal bleeding, diarrhea, abdominal pain, ascites, dyspnoea and heart failure. One patient with splenic arteriovenous fistula after splenectomy was treated at the First Affiliated Hospital of Soochow University from April to May in 2014. The patient was cured successfully by percutaneous transarterial embolization and celiac arteriography with the aid of interventional radiology. Hepatic and renal functions of the patient got a normal condition combined with a missing of the ascites and portal hypertension by abdominal enhanced computed tomography at postoperative month 2.
- Splenic arteriovenous fistula /
- Interventional therapy /
- Percutaneous transarterial embolization /
- Splenectomy