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British Journal of Radiology (2007) 80, e216-e218
© 2007 British Institute of Radiology
doi: 10.1259/bjr/33895565

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Post-operative splenic arteriovenous fistula detected with 16-multidetector computed tomography

F Crusco, MD 1 A Antoniella, MD 1 C Puligheddu, MD 1 A Z Fabbri, MD 2 and A Giovagnoni, MD 3

1 Department of Radiology, AUSL 2 Umbria. Assisi Hospital, via fuori porta nuova, 06081, Assisi, 2 Department of Internal Medicine and Oncological Sciences, University of Perugia and 3 Institute of Radiology, University of Marche, Torrette Hospital, Ancona, Italy


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Figure 1. In this 47-year-old splenectomised woman, (a) axial thick-slab maximum-intensity projections and (b) oblique 3-dimensional volume-rendering images, obtained with 16-detector row CT, show strong and early enhancement of a dilated splenic and main portal vein, approaching the density of the aorta, during the arterial phase. Note the clear depiction of the intrahepatic portal circuit during the arterial phase. The aneurysmal arteriovenous fistula is well demonstrated in the splenic lodge.

 





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