TITLE

Mesenteric Ischemia: An Unusual Presentation of Traumatic Intrahepatic Arterioportal Fistula

AUTHOR(S)
English, William P.; Johnson, Mathew B.; Borman, Karen R.; Turner Jr., William W.
PUB. DATE
September 2001
SOURCE
American Surgeon;Sep2001, Vol. 67 Issue 9, p865
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Traumatic hepatic arterioportal fistulae (APF) are described infrequently as sequelae of hepatic trauma. These anomalies are usually associated with blunt hepatic trauma or iatrogenic injury. The majority of APF present within weeks to months of injury with gastrointestinal hemorrhage, hemobilia, abdominal pain, and diarrhea. When presenting remotely APFs are associated with portal hypertension, heart failure, gastrointestinal hemorrhage, ascites, and splenomegaly. We report an unusual case of mesenteric ischemia due to an APF that resulted from a penetrating liver injury 20 years before presentation. Successful treatment of the APF was achieved by intravascular catheter occlusion resulting in resolution of symptoms.
ACCESSION #
5156693

 

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