Isolated arterioportal fistula presenting with variceal hemorrhage
Open Access
- 1 January 2013
- journal article
- case report
- Published by Baishideng Publishing Group Inc. in World Journal of Gastroenterology
- Vol. 19 (17), 2714-2717
- https://doi.org/10.3748/wjg.v19.i17.2714
Abstract
We report a case of life-threatening hematemesis due to portal hypertension caused by an isolated arterioportal fistula (APF). Intrahepatic APFs are extremely rare and are a cause of presinusoidal portal hypertension. Etiologies for APFs are comprised of precipitating trauma, malignancy, and hereditary hemorrhagic telangiectasia, but these were not the case in our patient. Idiopathic APFs are usually due to congenital vascular abnormalities and thus usually present in the pediatric setting. This is one of the first cases of adult-onset isolated APF who presented with portal hypertension and was successfully managed through endoscopic hemostasis and subsequent interventional radiological embolization.Keywords
This publication has 19 references indexed in Scilit:
- Functional aspects on the pathophysiology of portal hypertension in cirrhosisJournal of Hepatology, 2012
- Treatment of portal hypertensionWorld Journal of Gastroenterology, 2012
- Transcatheter embolization of congenital hepatic arteriovenous malformation using ethylene vinyl alcohol copolymer (onyx)Diagnostic and Interventional Radiology, 2011
- Liver involvement in hereditary hemorrhagic telangiectasia (HHT)Journal of Hepatology, 2007
- Liver Disease in Patients with Hereditary Hemorrhagic TelangiectasiaThe New England Journal of Medicine, 2000
- Wedged hepatic venous pressure adequately reflects portal pressure in hepatitis C virus-related cirrhosisHepatology, 1999
- Arteriovenous shunting in hepatocellular carcinoma: Its prevalence and clinical significanceClinical Radiology, 1997
- Presentation and Perioperative Management of Arterioportal FistulasArchives of Surgery, 1987
- THERAPEUTIC EMBOLISATION OF THE HEPATIC ARTERY: A REVIEW OF 75 PROCEDURESThe Lancet, 1985
- Classification and functional aspects of portal hypertensionThe American Journal of Surgery, 1974