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Case report: Congenital arterioportal fistula: An unusual cause of variceal bleeding in adults
The aberrant vascular connecting channel that forms between the portal vein and the hepatic artery is the essence of a hepatic arterioportal fistula. Congenital hepatic arterioportal fistula more frequently occurs in early childhood rather than in adults. We describe a rare instance of a large, isol...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9489925/ https://www.ncbi.nlm.nih.gov/pubmed/36160178 http://dx.doi.org/10.3389/fmed.2022.970254 |
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author | Xia, Junlin Zhao, Jingwen Chang, Bing |
author_facet | Xia, Junlin Zhao, Jingwen Chang, Bing |
author_sort | Xia, Junlin |
collection | PubMed |
description | The aberrant vascular connecting channel that forms between the portal vein and the hepatic artery is the essence of a hepatic arterioportal fistula. Congenital hepatic arterioportal fistula more frequently occurs in early childhood rather than in adults. We describe a rare instance of a large, isolated, congenital hepatic arterioportal fistula that was successfully treated following selective hepatic arteriography and transcatheter embolization. The patient presented with significant variceal bleeding when the fistula was discovered at the age of 73. The patient's condition improved during the brief postoperative follow-up period without a recurrence. Our research suggests that in older patients with portal hypertension and an unclear etiology, selective arteriography and embolization can provide a definitive diagnosis and successfully treat symptoms. |
format | Online Article Text |
id | pubmed-9489925 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-94899252022-09-22 Case report: Congenital arterioportal fistula: An unusual cause of variceal bleeding in adults Xia, Junlin Zhao, Jingwen Chang, Bing Front Med (Lausanne) Medicine The aberrant vascular connecting channel that forms between the portal vein and the hepatic artery is the essence of a hepatic arterioportal fistula. Congenital hepatic arterioportal fistula more frequently occurs in early childhood rather than in adults. We describe a rare instance of a large, isolated, congenital hepatic arterioportal fistula that was successfully treated following selective hepatic arteriography and transcatheter embolization. The patient presented with significant variceal bleeding when the fistula was discovered at the age of 73. The patient's condition improved during the brief postoperative follow-up period without a recurrence. Our research suggests that in older patients with portal hypertension and an unclear etiology, selective arteriography and embolization can provide a definitive diagnosis and successfully treat symptoms. Frontiers Media S.A. 2022-09-07 /pmc/articles/PMC9489925/ /pubmed/36160178 http://dx.doi.org/10.3389/fmed.2022.970254 Text en Copyright © 2022 Xia, Zhao and Chang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Medicine Xia, Junlin Zhao, Jingwen Chang, Bing Case report: Congenital arterioportal fistula: An unusual cause of variceal bleeding in adults |
title | Case report: Congenital arterioportal fistula: An unusual cause of variceal bleeding in adults |
title_full | Case report: Congenital arterioportal fistula: An unusual cause of variceal bleeding in adults |
title_fullStr | Case report: Congenital arterioportal fistula: An unusual cause of variceal bleeding in adults |
title_full_unstemmed | Case report: Congenital arterioportal fistula: An unusual cause of variceal bleeding in adults |
title_short | Case report: Congenital arterioportal fistula: An unusual cause of variceal bleeding in adults |
title_sort | case report: congenital arterioportal fistula: an unusual cause of variceal bleeding in adults |
topic | Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9489925/ https://www.ncbi.nlm.nih.gov/pubmed/36160178 http://dx.doi.org/10.3389/fmed.2022.970254 |
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