{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T03:40:06Z","timestamp":1756093206783,"version":"3.44.0"},"reference-count":10,"publisher":"Vilnius University Press","issue":"2","license":[{"start":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T00:00:00Z","timestamp":1756080000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AML"],"abstract":"<jats:p>Background:\u00a0Splenic arteriovenous fistula (AVF) is a rare vascular anomaly that can arise from trauma, aneurysmal rupture, or congenital conditions. Prompt diagnosis and management are crucial to preventing complications such as portal hypertension and high-output cardiac failure.Case Presentation:\u00a0We present the case of a 62-year-old male with a traumatic splenic AVF resulting from a road traffic accident (RTA), associated with a Grade IV splenic injury and multiple pseudoaneurysms. The patient underwent successful endovascular coil embolization and experienced an asymptomatic follow-up.Conclusion:\u00a0Endovascular coil embolisation is a minimally invasive and effective first-line treatment for traumatic splenic AVFs, particularly in hemodynamically stable patients, providing excellent outcomes and organ preservation.<\/jats:p>","DOI":"10.15388\/amed.2025.32.2.10","type":"journal-article","created":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T03:20:13Z","timestamp":1756092013000},"page":"10","source":"Crossref","is-referenced-by-count":0,"title":["The Silent Shunt: Traumatic Splenic AV Fistula Revealed and Treated Endovascularly"],"prefix":"10.15388","volume":"32","author":[{"given":"Gulshan","family":"Sharma","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Resham","family":"Singh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Puneet","family":"Garg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6097","published-online":{"date-parts":[[2025,8,25]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Galler G, Yim A, Emond JC, Kirch E, Yousefzadeh D, Baker AL. Splenic arteriovenous fistula. A rare lesion causing bleeding oesophagal varices, ascites, and diarrhoea. Dig Dis Sci. 1996;41(4):816-819. doi:10.1007\/BF02213141","DOI":"10.1007\/BF02213141"},{"key":"ref1","unstructured":"American College of Surgeons Committee on Trauma. ATLS Advanced Trauma Life Support Program for Doctors. 7th ed. American College of Surgeons; 2004."},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Ono S, Obara H, Shimoda M, Kitagawa Y. Idiopathic splenic arteriovenous fistula without splenic artery aneurysm. BMJ Case Rep. 2015;2015:bcr2015209688. doi:10.1136\/bcr-2015-209688","DOI":"10.1136\/bcr-2015-209688"},{"key":"ref3","unstructured":"Yilamz C. Splenic Arteriovenous Fistula: An Unusual Cause of Portal Hypertension Primarily Diagnosed by Color Duplex Sonography. I J Radiol. 2010;7(1):e78849."},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Sexton JA, Ricotta JJ. Endovascular Approaches to Arteriovenous Fistula. Adv Surg. 2011;45(1):83-100. doi:10.1016\/j.yasu.2011.03.011","DOI":"10.1016\/j.yasu.2011.03.011"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Ibrahim WH, Bassurrah HM. Endovascular Management of Splenic Arteriovenous Fistula with Giant Venous Aneurysmal Dilatation. Ann Vasc Dis. 2012;5(4):439-444. doi:10.3400\/avd.cr.12.00009","DOI":"10.3400\/avd.cr.12.00009"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Siablis D, Papathanassiou ZG, Karnabatidis D, Christeas N, Katsanos K, Vagianos C. Splenic arteriovenous fistula and sudden onset of portal hypertension as complications of a ruptured splenic artery aneurysm: Successful treatment with transcatheter arterial embolization. A case study and review of the literature. World J Gastroenterol. 2006;12(26):4264-4266. doi:10.3748\/wjg.v12.i26.4264","DOI":"10.3748\/wjg.v12.i26.4264"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Saddekni S, Anis KH, Hegazi AA, Hamed MF, Aal AKA. Traumatic complex splenic arteriovenous fistula causing prehepatic portal hypertension and variceal bleeding: The importance of the diagnosis for the endovascular treatment approach. Vasc Endovascular Surg. 2014;48(2):180-185. doi:10.1177\/1538574413513340","DOI":"10.1177\/1538574413513340"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Alexander E, Santos E. Endovascular management of incidentally discovered splenic arteriovenous fistula resulting from ruptured splenic aneurysm: Case report and review of the literature. Radiol Case Rep. 2023;18(7):2465-2469. doi:10.1016\/j.radcr.2023.04.021","DOI":"10.1016\/j.radcr.2023.04.021"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Madoff DC, Denys A, Wallace MJ, Murthy R, Gupta S, Pillsbury EP, et al. Splenic arterial interventions: Anatomy, indications, technical considerations, and potential complications. Radiographics. 2005;25(Suppl 1):S191-S211. doi:10.1148\/rg.25si055504","DOI":"10.1148\/rg.25si055504"}],"container-title":["Acta medica Lituanica"],"original-title":[],"link":[{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/download\/42293\/40145","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/download\/42293\/40146","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/download\/42293\/40145","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T03:21:08Z","timestamp":1756092068000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.journals.vu.lt\/AML\/article\/view\/42293"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,25]]},"references-count":10,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,7,29]]}},"URL":"https:\/\/doi.org\/10.15388\/amed.2025.32.2.10","relation":{},"ISSN":["2029-4174","1392-0138"],"issn-type":[{"value":"2029-4174","type":"electronic"},{"value":"1392-0138","type":"print"}],"subject":[],"published":{"date-parts":[[2025,8,25]]}}}