Angiographic embolization of intrahepatic arterioportal fistula.
We report the case of a posttraumatic arteriovenous fistula between the right hepatic artery and the right portal vein remarkable in that clinical manifestations, including portal hypertension and mesenteric insufficiency findings, appeared latently and progressively worsened. This hepatoportal fistula was diagnosed by Doppler sonography and successfully treated by transcatheter embolization of feeding hepatic artery branch with steel coils. We emphasize the interest of pulsed Doppler in the diagnosis of hepatoportal fistula, in assessment of hemodynamic changes related to the fistula and in follow-up after treatment.
Taourel
P
P
Service d'Imagerie Médicale, Hôpital Saint-Eloi, Montpellier, France.
Perney
P
P
Bouvier
Y
Y
Dauzat
M
M
Le Bricquir
Y
Y
Domergue
J
J
Blanc
F
F
Bruel
J M
JM
D000792:Angiography; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D001783:Blood Flow Velocity; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use; D018056:Hemorheology; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000293:injuries; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology; D008642:Mesenteric Veins; D008875:Middle Aged; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000293:injuries; D015641:Radiography, Interventional; D013232:Steel; D018615:Ultrasonography, Doppler, Color; D018617:Ultrasonography, Doppler, Pulsed; D014689:Venous Insufficiency / Q000209:etiology
D013232:Steel