Portal hypertension induced by congenital hepatic arterioportal fistula: Report of four clinical cases and review of the literature

Intrahepatic arterioportal fistula (IAPF) can be caused by many secondary factors. We report four cases of portal hypertension that were eventually determined to be caused by congenital hepatic arterioportal fistula. The clinical manifestations included ascites, variceal hemorrhage and hepatic encep...

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Publicado no:World J Gastroenterol
Main Authors: Zhang, Dan-Ying, Weng, Shu-Qiang, Dong, Ling, Shen, Xi-Zhong, Qu, Xu-Dong
Formato: Artigo
Idioma:Inglês
Publicado em: Baishideng Publishing Group Inc 2015
Assuntos:
Case Report
Acesso em linha:https://ncbi.nlm.nih.gov/pmc/articles/PMC4326165/
https://ncbi.nlm.nih.gov/pubmed/25717263
https://ncbi.nlm.nih.govhttp://dx.doi.org/10.3748/wjg.v21.i7.2229
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spelling pubmed-43261652015-02-25 Portal hypertension induced by congenital hepatic arterioportal fistula: Report of four clinical cases and review of the literature Zhang, Dan-Ying Weng, Shu-Qiang Dong, Ling Shen, Xi-Zhong Qu, Xu-Dong World J Gastroenterol Case Report Intrahepatic arterioportal fistula (IAPF) can be caused by many secondary factors. We report four cases of portal hypertension that were eventually determined to be caused by congenital hepatic arterioportal fistula. The clinical manifestations included ascites, variceal hemorrhage and hepatic encephalopathy. Computed tomography scans from all of the patients revealed the early enhancement of the portal branches in the hepatic arterial phase. All patients were diagnosed using digital subtraction angiography (DSA). DSA before embolization revealed an arteriovenous fistula with immediate filling of the portal venous radicles. All four patients were treated with interventional embolization. The four patients remained in good condition throughout follow-up and at the time of publication. IAPF is frequently misdiagnosed due to its rarity; therefore, clinicians should consider IAPF as a potential cause of non-cirrhotic portal hypertension. Baishideng Publishing Group Inc 2015-02-21 2015-02-21 /pmc/articles/PMC4326165/ /pubmed/25717263 http://dx.doi.org/10.3748/wjg.v21.i7.2229 Text en ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
institution US NLM
collection PubMed Central
language Inglês
format Artigo
topic Case Report
spellingShingle Case Report
Zhang, Dan-Ying
Weng, Shu-Qiang
Dong, Ling
Shen, Xi-Zhong
Qu, Xu-Dong
Portal hypertension induced by congenital hepatic arterioportal fistula: Report of four clinical cases and review of the literature
description Intrahepatic arterioportal fistula (IAPF) can be caused by many secondary factors. We report four cases of portal hypertension that were eventually determined to be caused by congenital hepatic arterioportal fistula. The clinical manifestations included ascites, variceal hemorrhage and hepatic encephalopathy. Computed tomography scans from all of the patients revealed the early enhancement of the portal branches in the hepatic arterial phase. All patients were diagnosed using digital subtraction angiography (DSA). DSA before embolization revealed an arteriovenous fistula with immediate filling of the portal venous radicles. All four patients were treated with interventional embolization. The four patients remained in good condition throughout follow-up and at the time of publication. IAPF is frequently misdiagnosed due to its rarity; therefore, clinicians should consider IAPF as a potential cause of non-cirrhotic portal hypertension.
author Zhang, Dan-Ying
Weng, Shu-Qiang
Dong, Ling
Shen, Xi-Zhong
Qu, Xu-Dong
author_facet Zhang, Dan-Ying
Weng, Shu-Qiang
Dong, Ling
Shen, Xi-Zhong
Qu, Xu-Dong
author_sort Zhang, Dan-Ying
title Portal hypertension induced by congenital hepatic arterioportal fistula: Report of four clinical cases and review of the literature
title_short Portal hypertension induced by congenital hepatic arterioportal fistula: Report of four clinical cases and review of the literature
title_full Portal hypertension induced by congenital hepatic arterioportal fistula: Report of four clinical cases and review of the literature
title_fullStr Portal hypertension induced by congenital hepatic arterioportal fistula: Report of four clinical cases and review of the literature
title_full_unstemmed Portal hypertension induced by congenital hepatic arterioportal fistula: Report of four clinical cases and review of the literature
title_sort portal hypertension induced by congenital hepatic arterioportal fistula: report of four clinical cases and review of the literature
publisher Baishideng Publishing Group Inc
container_title World J Gastroenterol
publishDate 2015
url https://ncbi.nlm.nih.gov/pmc/articles/PMC4326165/
https://ncbi.nlm.nih.gov/pubmed/25717263
https://ncbi.nlm.nih.govhttp://dx.doi.org/10.3748/wjg.v21.i7.2229
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