[Pulmonary embolism, an unrecognized risk of post-traumatic arterio-venous fistulae of the hepatic veins (1 case)].
A stab wound of the right lobe of the liver, initially treated by suture, led to the development of a large arterio-venous fistula with hemobilia. Re-operation on the 23rd day in order to carry out right hepatectomy, was rapidly followed by a massive and recurrent pulmonary embolism. A Trendelenburg operation associated with right hepatectomy did not prevent the patient's death. This risk of pulmonary embolism during post-traumatic hematoma of the liver is not fully recognised and the authors suggest, in cases of arterio-venous fistula of the hepatic veins, primary vascular exclusion of the supra-hepatic vena cava.
D000328:Adult; D001164:Arteriovenous Fistula / Q000150:complications* / Q000209:etiology / Q000601:surgery; D006406:Hematoma / Q000209:etiology; D006503:Hepatic Veins / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008099:Liver / Q000601:surgery; D008107:Liver Diseases / Q000209:etiology; D008297:Male; D014951:Wounds, Stab / Q000150:complications*
L'embolie pulmonaire, un risque méconnu des fistules artério-sus-hépatiques post-traumatiques (1 cas)