Posttraumatic fistula between splenic artery and splenic vein causing acute myocardial ischemia [Posttraumatische arteriovenöse fistel zwischen arteria und vena lienalis als seltene ursache akuter myokardischämie]

被引：0

作者：

Günther K. ^{[1
,4
]}

Stangl R. ^{[2
]}

Schweiger H. ^{[3
]}

Rupprecht H. ^{[1
]}

机构：

[1] Chirurgische Klinik Mit Poliklinik, Univ. Erlangen-Nürnberg

[2] Abteilung für Unfallchirurgie, Univ. Erlangen-Nürnberg

[3] Gefäßchirurgische Abt., Rhön-Klinikums Neustadt/S.

[4] Chirurgische Universitätsklinik, D-91054 Erlangen

来源：

Der Chirurg | 1998年 / 69卷 / 1期

关键词：

Abdominal pain; Myocardial ischemia; Portal hypertension; Resection of pancreatic tail; Splenectomy; Splenic arteriovenous fistula; Trauma;

D O I：

10.1007/s001040050380

中图分类号：

学科分类号：

摘要：

Arteriovenous fistulas of the portal system are rare. Congenital fistulas have to be differentiated from acquired fistulas; the latter are of posttraumatic or iatrogenic origin. The case presented demonstrates a history of diffuse abdominal pain and the first description of myocardial ischemia caused by a posttraumatic splenic arterioportal fistula. After diagnostic and therapeutic difficulties, the definitive treatment consisted in resection of the fistula system including the pan-creatic tail.

引用

页码：91 / 93

页数：2