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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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
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author Bertanha, Matheus
Moura, Regina
Jaldin, Rodrigo Gibin
Sobreira, Marcone Lima
Curtarelli, Arthur
Rosa, Felipe Damacena
Sembenelli, Marcelo
Yoshida, Winston Bonetti
author_facet Bertanha, Matheus
Moura, Regina
Jaldin, Rodrigo Gibin
Sobreira, Marcone Lima
Curtarelli, Arthur
Rosa, Felipe Damacena
Sembenelli, Marcelo
Yoshida, Winston Bonetti
author_sort Bertanha, Matheus
collection PubMed
description 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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spelling pubmed-82021702021-06-24 Endovascular treatment of portal hypertension and recurrent digestive hemorrhage secondary to arterioportal fistula syndrome: late complication of penetrating abdominal trauma Bertanha, Matheus Moura, Regina Jaldin, Rodrigo Gibin Sobreira, Marcone Lima Curtarelli, Arthur Rosa, Felipe Damacena Sembenelli, Marcelo Yoshida, Winston Bonetti J Vasc Bras Therapeutic Challenge 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. Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2020-04-03 /pmc/articles/PMC8202170/ /pubmed/34178070 http://dx.doi.org/10.1590/1677-5449.190136 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Therapeutic Challenge
Bertanha, Matheus
Moura, Regina
Jaldin, Rodrigo Gibin
Sobreira, Marcone Lima
Curtarelli, Arthur
Rosa, Felipe Damacena
Sembenelli, Marcelo
Yoshida, Winston Bonetti
Endovascular treatment of portal hypertension and recurrent digestive hemorrhage secondary to arterioportal fistula syndrome: late complication of penetrating abdominal trauma
title Endovascular treatment of portal hypertension and recurrent digestive hemorrhage secondary to arterioportal fistula syndrome: late complication of penetrating abdominal trauma
title_full Endovascular treatment of portal hypertension and recurrent digestive hemorrhage secondary to arterioportal fistula syndrome: late complication of penetrating abdominal trauma
title_fullStr Endovascular treatment of portal hypertension and recurrent digestive hemorrhage secondary to arterioportal fistula syndrome: late complication of penetrating abdominal trauma
title_full_unstemmed Endovascular treatment of portal hypertension and recurrent digestive hemorrhage secondary to arterioportal fistula syndrome: late complication of penetrating abdominal trauma
title_short Endovascular treatment of portal hypertension and recurrent digestive hemorrhage secondary to arterioportal fistula syndrome: late complication of penetrating abdominal trauma
title_sort endovascular treatment of portal hypertension and recurrent digestive hemorrhage secondary to arterioportal fistula syndrome: late complication of penetrating abdominal trauma
topic Therapeutic Challenge
url 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
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