title: Embolisation of arteriovenous intrahepatic fistulas associated with diffuse haemangiomatosis of the liver. Report of a case in an adult and review of the literature.
abstract: 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.
authors.affiliation: Surgical Semeiotics Unit, Department of Surgical Science, University of Udine, Udine
authors.forename: Enricomaria
authors.initials: E
authors.lastname: Pasqual
authors.forename: Stefano
authors.initials: S
authors.lastname: Bacchetti
authors.forename: Daniele
authors.initials: D
authors.lastname: Gasparini
authors.forename: Massimo
authors.initials: M
authors.lastname: Sponza
authors.forename: Pier Paolo
authors.initials: PP
authors.lastname: Cagol
mesh_terms: 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
chemical_list: D015415:Biomarkers