Year 2023 / Volume 115 / Number 1
Digestive Diseases Image
Traumatic high flow arterioportal fistula. Correction by a covered stent

39-40

DOI: 10.17235/reed.2022.8724/2022

Boris Luis Torres Cuevas, Gloria Esther Castillo Lara, Dayron Páez Suárez, Mark Eilers,

Abstract
The arterio-portal fistula is a rare entity, generally associated with different causes, among which penetrating trauma stands out. They can occur at the beginning asymptomatic or manifest by a wide spectrum of signs and symptoms with severe limitation of the patient's quality of life and even compromise it. Immediate therapeutic action, whether surgical or endovascular, is vital for the definitive solution of the primary triggering cause. We present the case of a patient with a stab wound to the abdomen who developed an arterioportal fistula with associated portal hypertension as a complication. It is treated by placing a covered stent at the level of the anomalous communication, with definitive clinical and imaging resolution.
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References
1. Khosla A, White B, Kalva S, et al. Endovascular management of a post-traumatic complex arterioportal fistula. J Vasc Med Surg. 2015;3(3):1-4. DOI: 10.4172/2329-6925.1000198 https://www.walshmedicalmedia.com/open-access/endovascular-management-of-a-posttraumatic-complex-arterioportal-fistula-2329-6925-1000198.pdf
2. Mukund A, Maiwally R, Condati NK. Angioembolization of Post-traumatic Intrahepatic Arterioportal Fistula Presenting With Portal Hypertension. Journal of Clinical and Experimental Hepatology. 2019;9(4):541-45. DOI: 10.1016/j.jceh.2018.10.001 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6728541/pdf/main.pdf
3. Cao B, Tian K, Zhou H, Li C, Liu D, Tan Y, et al. Hepatic Arterioportal Fistulas: A Retrospective Analysis of 97 Cases. J Clin Transl Hepatol. Published online: Jan 10, 2022. doi: 10.14218/JCTH.2021.00100. https://www.xiahepublishing.com/2310-8819/JCTH-2021-00100
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Torres Cuevas B, Castillo Lara G, Páez Suárez D, Eilers M. Traumatic high flow arterioportal fistula. Correction by a covered stent. 8724/2022


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Publication history

Received: 17/02/2022

Accepted: 18/02/2022

Online First: 08/03/2022

Published: 12/01/2023

Article Online First time: 19 days

Article editing time: 329 days


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