title: Hepatoportal fistula in an 83-year-old male, presenting with hematemesis 52 years after blunt trauma.
abstract: Hepatoportal arteriovenous fistulae are a rare cause of portal hypertension, which can have significant clinical manifestations. They have multiple etiologies, one of which includes hepatic trauma. We present a case of hepatoportal fistula presenting with bleeding esophageal varices in an 83-year-old man. The exact cause of fistula in this case is not entirely clear; however, hepatic trauma was noted in the patients' history, some 52 years before presentation. We also present a literature review on this rare and interesting phenomenon.
authors.affiliation: Royal Hobart Hospital, Hobart, TAS, Australia.
authors.forename: Gideon A
authors.initials: GA
authors.lastname: Blecher
authors.forename: Robert
authors.initials: R
authors.lastname: Bohmer
mesh_terms: D000007:Abdominal Injuries / Q000150:complications / Q000175:diagnosis; D000369:Aged, 80 and over; D000792:Angiography / Q000379:methods; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging* / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods*; D004932:Esophageal and Gastric Varices / Q000000981:diagnostic imaging / Q000628:therapy*; D005500:Follow-Up Studies; D006396:Hematemesis / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000000981:diagnostic imaging*; D008297:Male; D018570:Risk Assessment; D012720:Severity of Illness Index; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis