Conservative Approach in a 47-Year-Old Male Patient with Incidental Extensive Splenic Arteriovenous Fistula

Abstract

Splenic arteriovenous fistula (SAVF) is a rare clinical entity which occurs due to congenital or acquired causes. Among mostly seen etiologies are trauma, splenectomy, splenic arteryaneurysm rupture into the veins and vascular degenerations like atherosclerosis and fibrodysplasia.A 47-year-old male patient was brought to our Trauma and Emergency Surgery Department afteran in-vehicle traffic accident, he had extensive splenic arteriovenous fistulas (SAVF) identified onhis computed tomography (CT) scan with contrast. His management was handled conservativelythroughout his hospitalization period until discharge by close follow-up of his hemodynamic parameters and serial clinical evaluations. Splenic arteriovenous fistula was diagnosed by CT angiography. He did not have any complaint at control. Selected patient groups with hemodynamicstability can be followed-up conservatively. By preventing unnecessary intervations, overall morbidity and mortality rates would be less.