Embolisation of arteriovenous intrahepatic fistulas associated with diffuse haemangiomatosis of the liver. Report of a case in an adult and review of the literature.
Diffuse hepatic haemangiomatosis is rare in adults. Association with high output intrahepatic arteriovenous fistulas has been described. To avoid heart failure complications, treatment is essential. The second case in the literature, treated with repeated transcatheter arterial embolizations (TAE) but complicated by infection of multiple haemangiomas and by Kasabach-Merritt syndrome, is presented. Complications were due to the persistent presence of haemangiomas within the liver, where an impressive collection of platelets and a superinfection were observed. Therefore, to treat arteriovenous fistula-related problems and to prevent possible complications due to persistence of the haemangiomas, surgical removal should be preferred over embolisation.
Pasqual
Enricomaria
E
Surgical Semeiotics Unit, Department of Surgical Science, University of Udine, Udine
Bacchetti
Stefano
S
Gasparini
Daniele
D
Sponza
Massimo
M
Cagol
Pier Paolo
PP
D000368:Aged; D000792:Angiography; D000798:Angiomatosis / Q000150:complications* / Q000000981:diagnostic imaging; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D015415:Biomarkers / Q000097:blood; D004621:Embolization, Therapeutic / Q000009:adverse effects; D005260:Female; D006391:Hemangioma / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy*; D019233:Retreatment; D015163:Superinfection; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D015415:Biomarkers