[Arterioportal fistulas in the extra-hepatic circulation of the common hepatic artery. Diagnosis and radiologic interventional therapy].
Two cases of arterioportal fistulas and new possibilities in diagnosis and treatment are reported: A 62-year-old women was admitted to our hospital with abdominal pain. Color flow duplex sonography showed an arterioportal fistula between the proper hepatic artery and the ectatic portal vein that was confirmed by angiography, permitting percutaneous embolization as a definitive treatment. The pain disappeared immediately. A 36-year-old man underwent surgery due to a penetrating gastric ulcer. He was referred to us with an abdominal murmur. Color flow duplex sonography proved by spiral CT with 3D reconstruction and maximum intensity projection (angio-CT) revealed an arteriovenous fistula between the gastroduodenal artery and a mesenteric branch. Angiography confirmed the diagnosis and permitted definitive therapeutic embolization.
Klinkner
J
J
Abteilung Radiodiagnostik, Universität des Saarlandes, Homburg/Saar.
Kubale
R
R
Hu
D
D
Weg-Remers
S
S
Langer
S
S
Kramann
B
B
D000328:Adult; D000792:Angiography; D001164:Arteriovenous Fistula / Q000175:diagnosis* / Q000628:therapy; D003952:Diagnostic Imaging; D004621:Embolization, Therapeutic; D005260:Female; D006499:Hepatic Artery; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D008875:Middle Aged; D011169:Portal Vein; D014057:Tomography, X-Ray Computed; D018615:Ultrasonography, Doppler, Color