Embolotherapy of an arterioportal fistula.
We present a complex case of a splanchnic arterioportal vein fistula in a patient who presented with weight loss, abdominal pain, diarrhea, and pancreatitis. We report successful use of the Guglielmi Detachable Coil (GDC) and N-butyl cyanoacrylate glue for the therapeutic embolization of the fistula between the superior mesenteric artery, the common hepatic artery, and the portal vein. On the day following the procedure, the patient reported total remission of the abdominal pain and diarrhea. These results were maintained at 3 months follow-up.
Chen
Qi
Q
Department of Radiology, Maimonides Medical Center, 4802 10th Avenue, Brooklyn, NY 11219, USA. qc13@Cornell.edu
Tack
Carl
C
Morcos
Morcos
M
Ruggiero
MaryAnn
M
Schlossberg
Peter
P
Fogel
Joshua
J
Weng
Li-Jun
LJ
Farkas
Jeffrey
J
D000328:Adult; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D003487:Cyanoacrylates / Q000008:administration & dosage*; D004621:Embolization, Therapeutic; D004659:Enbucrilate; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000503:physiopathology; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000503:physiopathology; D015641:Radiography, Interventional; D013152:Splanchnic Circulation; D014014:Tissue Adhesives / Q000008:administration & dosage*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000150:complications*
D003487:Cyanoacrylates; D014014:Tissue Adhesives; D004659:Enbucrilate