en Gastroenterology Gastroenterology case report case report We report a case of a 40 year old man with portal hypertension caused by a splenic arteriovenous fistula that was diagnosed at laparotomy. He presented with bleeding esophageal varices and was initially treated by sclerotherapy. At laparotomy, portal pressure was 40 cmH20 but fell to 20 cm H20 after the fistula was treated with splenectomy. All symptoms disappeared shortly after operation and the patient has remained well for the past two years. Arteriovenous fistula, Portal hypertension. 303 304 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-323&slc_lang=en&sid=1 AA KESHAVARZ 20031947532846004394 20031947532846004394 Yes From the Department of Gastroenterology and Pathology, Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Islamic Republic of Iran M YOUNESI 20031947532846004395 20031947532846004395 No M RAHBAR 20031947532846004396 20031947532846004396 No