POSTTRAUMATIC FISTULA BETWEEN SPLENIC ART ERY AND SPLENIC VEIN CAUSING ACUTE MYOCARDIAL-ISCHEMIA

Arteriovenous fistulas of the portal system are rare. Congenital fistu las have to be differentiated from acquired fistulas; the latter are o f posttraumatic or iatrogenic origin. The case presented demonstrates a history of diffuse abdominal pain and the first description of myoca rdial ischemia caused by a posttraumatic splenic arterioportal fistula . After diagnostic and therapeutic difficulties, the definitive treatm ent consisted in resection of the fistula system including the pancrea tic tail.