Coil embolization of arterioportal fistula complicated by gastrointestinal bleeding after Caesarian section: A case report

BACKGROUND: Most intrahepatic arterioportal fistulae (IAPF) are acquired. The few cases of congenital fistulae are diagnosed in infants and children. CASE SUMMARY: We report a 31-year-old female patient presenting with haematemesis and melena three weeks after delivering her second child. The patien...

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Autores principales: Stepanyan, Suren Agho, Poghosyan, Tigran, Manukyan, Karen, Hakobyan, Gagik, Hovhannisyan, Hayk, Safaryan, Hayk, Baghdasaryan, Elena, Gemilyan, Manik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7812888/
https://www.ncbi.nlm.nih.gov/pubmed/33521108
http://dx.doi.org/10.12998/wjcc.v9.i2.403
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author Stepanyan, Suren Agho
Poghosyan, Tigran
Manukyan, Karen
Hakobyan, Gagik
Hovhannisyan, Hayk
Safaryan, Hayk
Baghdasaryan, Elena
Gemilyan, Manik
author_facet Stepanyan, Suren Agho
Poghosyan, Tigran
Manukyan, Karen
Hakobyan, Gagik
Hovhannisyan, Hayk
Safaryan, Hayk
Baghdasaryan, Elena
Gemilyan, Manik
author_sort Stepanyan, Suren Agho
collection PubMed
description BACKGROUND: Most intrahepatic arterioportal fistulae (IAPF) are acquired. The few cases of congenital fistulae are diagnosed in infants and children. CASE SUMMARY: We report a 31-year-old female patient presenting with haematemesis and melena three weeks after delivering her second child. The patient had a 20-year history of abdominal distention and nausea. IAPF, along with splenomegaly and ascites, was found by Doppler sonography and confirmed by computed tomography angiography. The patient was treated with endovascular coil embolization, resulting in occlusion of the fistula. CONCLUSION: This was an unusual case of possible congenital IAPF that manifested during a second pregnancy and was complicated by portal hypertension.
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spelling pubmed-78128882021-01-28 Coil embolization of arterioportal fistula complicated by gastrointestinal bleeding after Caesarian section: A case report Stepanyan, Suren Agho Poghosyan, Tigran Manukyan, Karen Hakobyan, Gagik Hovhannisyan, Hayk Safaryan, Hayk Baghdasaryan, Elena Gemilyan, Manik World J Clin Cases Case Report BACKGROUND: Most intrahepatic arterioportal fistulae (IAPF) are acquired. The few cases of congenital fistulae are diagnosed in infants and children. CASE SUMMARY: We report a 31-year-old female patient presenting with haematemesis and melena three weeks after delivering her second child. The patient had a 20-year history of abdominal distention and nausea. IAPF, along with splenomegaly and ascites, was found by Doppler sonography and confirmed by computed tomography angiography. The patient was treated with endovascular coil embolization, resulting in occlusion of the fistula. CONCLUSION: This was an unusual case of possible congenital IAPF that manifested during a second pregnancy and was complicated by portal hypertension. Baishideng Publishing Group Inc 2021-01-16 2021-01-16 /pmc/articles/PMC7812888/ /pubmed/33521108 http://dx.doi.org/10.12998/wjcc.v9.i2.403 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
spellingShingle Case Report
Stepanyan, Suren Agho
Poghosyan, Tigran
Manukyan, Karen
Hakobyan, Gagik
Hovhannisyan, Hayk
Safaryan, Hayk
Baghdasaryan, Elena
Gemilyan, Manik
Coil embolization of arterioportal fistula complicated by gastrointestinal bleeding after Caesarian section: A case report
title Coil embolization of arterioportal fistula complicated by gastrointestinal bleeding after Caesarian section: A case report
title_full Coil embolization of arterioportal fistula complicated by gastrointestinal bleeding after Caesarian section: A case report
title_fullStr Coil embolization of arterioportal fistula complicated by gastrointestinal bleeding after Caesarian section: A case report
title_full_unstemmed Coil embolization of arterioportal fistula complicated by gastrointestinal bleeding after Caesarian section: A case report
title_short Coil embolization of arterioportal fistula complicated by gastrointestinal bleeding after Caesarian section: A case report
title_sort coil embolization of arterioportal fistula complicated by gastrointestinal bleeding after caesarian section: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7812888/
https://www.ncbi.nlm.nih.gov/pubmed/33521108
http://dx.doi.org/10.12998/wjcc.v9.i2.403
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