Endovascular treatment of portal hypertension and recurrent digestive hemorrhage secondary to arterioportal fistula syndrome: late complication of penetrating abdominal trauma

The arterioportal fistula (APF) syndrome is a rare and reversible cause of pre-sinusoidal portal hypertension, caused by communication between a visceral artery and the portal venous system. Most patients are asymptomatic, but when they do develop symptoms, these are mainly related to gastrointestin...

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Detalles Bibliográficos
Autores principales: Bertanha, Matheus, Moura, Regina, Jaldin, Rodrigo Gibin, Sobreira, Marcone Lima, Curtarelli, Arthur, Rosa, Felipe Damacena, Sembenelli, Marcelo, Yoshida, Winston Bonetti
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2020
Materias:
Therapeutic Challenge
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8202170/
https://www.ncbi.nlm.nih.gov/pubmed/34178070
http://dx.doi.org/10.1590/1677-5449.190136
Descripción
Sumario:The arterioportal fistula (APF) syndrome is a rare and reversible cause of pre-sinusoidal portal hypertension, caused by communication between a visceral artery and the portal venous system. Most patients are asymptomatic, but when they do develop symptoms, these are mainly related to gastrointestinal bleeding, ascites, congestive heart failure, and diarrhea. This therapeutic challenge presents a case of APF caused by a 20-year-old stabbing injury with unfavorable late clinical evolution, including significant malnutrition and severe digestive hemorrhages. The patient was treated using an endovascular procedure to occlude of the fistula.

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