Surgical management of hepatic arterioportal fistula in a neonate.
Congenital arterioportal fistulae in the liver are rare malformations which can lead to portal hypertension. We report a hepatic arterioportal fistula in a neonate who presented with intestinal hypoperfusion. Computerised tomography angiography showed a fistulous communication between the left hepatic artery and portal vein with hypoperfusion of small and large bowel. A formal left hepatectomy was done followed by clinical improvement and reduction in portal venous pressures. The case and the literature pertaining to it are discussed.
Department of Pediatric Surgery, Kanchi Kamakoti Child Trust Hospital and Child Trust Medical Research Foundation, 12A, Nageswara Road, Nungambakkam, Chennai, 600034, India, kidsurg@hotmail.com.
Priya
P
Ramachandran
N P
NP
Shanmugam
M
M
Vij
M
M
Rela
D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D006498:Hepatectomy / Q000379:methods; D006499:Hepatic Artery / Q000002:abnormalities* / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D017082:Portal Pressure / Q000502:physiology; D011169:Portal Vein / Q000002:abnormalities* / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014463:Ultrasonography