Congenital intrahepatic arterioportal and portosystemic venous fistulae with jejunal arteriovenous malformation depicted on multislice spiral CT.
We report a symptomatic infant with very rare congenital arterioportal and portosystemic venous fistulae in the liver. Multislice CT after partial transcatheter embolisation revealed not only the complicated vascular architecture of the lesion, but also an incidental jejunal arteriovenous malformation which explained the patient's melena. The patient underwent ligation of the hepatic artery and resection of the jejunal arteriovenous malformation. Postoperative multislice CT clearly demonstrated the success of the treatment.
Chae
Eun Jin
EJ
Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1 Poongnap2-dong, Songpa-gu 138-736, Seoul, Korea.
Goo
Hyun Woo
HW
Kim
Seong-Chul
SC
Yoon
Chong Hyun
CH
D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging*; D001165:Arteriovenous Malformations / Q000000981:diagnostic imaging*; D003287:Contrast Media; D006801:Humans; D007223:Infant; D007472:Iohexol / Q000031:analogs & derivatives*; D007583:Jejunum / Q000002:abnormalities*; D008297:Male; D011169:Portal Vein / Q000002:abnormalities*; D014057:Tomography, X-Ray Computed
D003287:Contrast Media; D007472:Iohexol; C038192:iopromide