An unusual presentation of a congenital intrahepatic arterioportal fistula in an infant with Down syndrome.
Congenital intrahepatic arterioportal fistula is a rare entity that most often presents with symptoms of portal hypertension and malabsorption. We discuss a patient who presented with distributive shock, congestive heart failure, pulmonary hypertension, ascites, and a history of severe constipation.
Division of Pediatric Surgery, Mayo Clinic Rochester, Rochester, MN 55905, USA.
James N
JN
Bogert
D Dean
DD
Potter
Sheri
S
Crow
Grace M
GM
Arteaga
Deborah K
DK
Freese
D001164:Arteriovenous Fistula / Q000453:epidemiology*; D015897:Comorbidity; D004314:Down Syndrome / Q000453:epidemiology*; D006499:Hepatic Artery / Q000002:abnormalities*; D006801:Humans; D006975:Hypertension, Portal / Q000453:epidemiology; D007223:Infant; D008297:Male; D011169:Portal Vein / Q000002:abnormalities*; D035583:Rare Diseases