Hepatic arterioportal fistula: a curable cause of portal hypertension in infancy.
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Authors
Billing, JS
Jamieson, NV
Abstract
Hepatic arterioportal fistulae are a rare cause of portal hypertension. The case is reported of a two-year old girl with a congenital arterioportal fistula, who presented with splenomegaly and ascites. Colour doppler ultrasound showed a large shunt between the left hepatic artery and a branch of the left portal vein, producing a reversal of flow in the main portal vein. She was treated by a formal left hemihepatectomy, which has been successful in eliminating the fistula and its consequent portal hypertension in the long term. The literature regarding arterioportal fistulae and their treatment is reviewed.
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Keywords
Arteriovenous Fistula, Child, Preschool, Female, Hepatectomy, Hepatic Artery, Humans, Hypertension, Portal, Portal Vein
Journal Title
HPB Surg
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Journal ISSN
0894-8569
1607-8462
1607-8462
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Publisher
Hindawi Limited