Arterioportal hypertension: a rare complication of partial hepatectomy.
An arterioportal fistula (APF) with arterialisation of the portal-venous system is a rare cause of portal hypertension (PH) in children. The condition may be a congenital isolated fistula or occur as part of a more generalised haemangiomatous malformation. We report a case of PH secondary to an APF, which presented with bleeding gastric varices 6 years after partial hepatectomy for hepatoblastoma. The diagnosis was established by angiography and the fistula occluded by embolisation.
Davenport
M
M
Department of Paediatric Surgery, King's College Hospital, Denmark Hill, London, UK.
Redkar
R
R
Howard
E R
ER
Karani
J
J
D017541:Aneurysm, False / Q000209:etiology* / Q000628:therapy; D001164:Arteriovenous Fistula / Q000209:etiology* / Q000628:therapy; D004621:Embolization, Therapeutic; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects*; D006499:Hepatic Artery; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology*; D007223:Infant; D011169:Portal Vein