The American Surgeon · 2001 · 24 citations · 8 references
MedicineEmergency MedicineSurgeryHepatologyInterventional RadiologyVascular SurgeryAbdominal TraumaHepatic NecrosisHepatic Vascular DisordersMesenteric IschemiaTraumatic Vascular InjuryVascular TraumaAcute Mesenteric TraumaAscites In Portal HypertensionBlunt Liver InjuryBlunt Vascular TraumaHepatic IschemiaLiver Injury ManagementLiver Trauma SurgeryMesenteric Pathology
Traumatic hepatic arterioportal fistulae (APF) are described infrequently as sequelae of hepatic trauma. These anomalies are usually associated with blunt hepatic trauma or iatrogenic injury. The majority of APF present within weeks to months of injury with gastrointestinal hemorrhage, hemobilia, abdominal pain, and diarrhea. When presenting remotely APFs are associated with portal hypertension, heart failure, gastrointestinal hemorrhage, ascites, and splenomegaly. We report an unusual case of mesenteric ischemia due to an APF that resulted from a penetrating liver injury 20 years before presentation. Successful treatment of the APF was achieved by intravascular catheter occlusion resulting in resolution of symptoms.
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The arterioportal fistula syndrome: Clinicopathologic features, diagnosis, and therapy
JN Vauthey, RJ Tomczak, T Helmberger et al. · Gastroenterology · 1997 · 225 citations · Full text