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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...

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Detalles Bibliográficos
Autores principales: Xia, Junlin, Zhao, Jingwen, Chang, Bing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
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.
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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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