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Isolated arterioportal fistula presenting with variceal hemorrhage 被引量：4

Isolated arterioportal fistula presenting with variceal hemorrhage
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摘要 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. 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.
作者 Anupama Nookala Behnam Saberi Ramon Ter-Oganesyan Gary Kanel Phillip Duong Takeshi Saito
机构地区 Division of Gastroenterology and Liver Diseases Department of Radiology Department of Pathology
出处 《World Journal of Gastroenterology》 SCIE CAS 2013年第17期2714-2717,共4页 世界胃肠病学杂志（英文版）
关键词 Arterioportal FISTULA Presinusoidal PORTAL hypertension HEPATIC VEIN pressure gradient HEPATIC artery EMBOLIZATION Arterioportal fistula Pre-sinusoidal portal hypertension Hepatic vein pressure gradient Hepatic artery embolization
分类号 R575.2 [医药卫生—消化系统]
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参考文献15

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二级引证文献35

World Journal of Gastroenterology
2013年 第17期

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