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Posttraumatic Intrapancreatic Aortosplenic Fistula Causing Portal Hypertension

Department of General Surgery
¹ Department of Cardiovascular Surgery
² Department of Hepatology, Hospital Clinic, University of Barcelona, Barcelona, Spain

For reprint information contact: Carlos-A Mestres, FETCS Tel: 34 93 227 5515 Fax: 34 93 451 4898 email: cmestres{at}clinic.ub.es Department of Cardiovascular Surgery, Hospital Clinic, University of Barcelona, Villarroel 170, 08036 Barcelona, Spain.

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.