title: Unusual case of digestive hemorrhage: celiac axis-portal vein arteriovenous fistula.
abstract: A case of intractable upper gastrointestinal-hemorrhage was reported in a patient with portal hypertension caused by an arterioportal fistula (APF), namely, celiac axis-portal vein arteriovenous fistula. Portal hypertension caused by extrahepatic-APFs is extremely rare. Trauma, malignancy, and hereditary causes are the common etiology of APFs; but were absent in our patient. Our patient represents an unusual case of unexplained APF who presented with portal hypertension and was successfully managed through endovascular aortic repair.
authors: Yi-Ren Liu, Bin Huang, Ding Yuan, Zhou-Peng Wu, Ji-Chun Zhao, Department of vascular surgery, West China Hospital, Sichuan University, 37 Guo Xue Alley, Chengdu 610041, Sichuan Province, China.
authors: Yi-Ren
authors: YR
authors: Liu
authors: Yi-Ren Liu, Bin Huang, Ding Yuan, Zhou-Peng Wu, Ji-Chun Zhao, Department of vascular surgery, West China Hospital, Sichuan University, 37 Guo Xue Alley, Chengdu 610041, Sichuan Province, China.
authors: Bin
authors: B
authors: Huang
authors: Yi-Ren Liu, Bin Huang, Ding Yuan, Zhou-Peng Wu, Ji-Chun Zhao, Department of vascular surgery, West China Hospital, Sichuan University, 37 Guo Xue Alley, Chengdu 610041, Sichuan Province, China.
authors: Ding
authors: D
authors: Yuan
authors: Yi-Ren Liu, Bin Huang, Ding Yuan, Zhou-Peng Wu, Ji-Chun Zhao, Department of vascular surgery, West China Hospital, Sichuan University, 37 Guo Xue Alley, Chengdu 610041, Sichuan Province, China.
authors: Zhou-Peng
authors: ZP
authors: Wu
authors: Yi-Ren Liu, Bin Huang, Ding Yuan, Zhou-Peng Wu, Ji-Chun Zhao, Department of vascular surgery, West China Hospital, Sichuan University, 37 Guo Xue Alley, Chengdu 610041, Sichuan Province, China.
authors: Ji-Chun
authors: JC
authors: Zhao
mesh_terms: D000293:Adolescent; D015901:Angiography, Digital Subtraction; D001164:Arteriovenous Fistula / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D057510:Endovascular Procedures / Q000295:instrumentation; D004932:Esophageal and Gastric Varices / Q000175:diagnosis / Q000209:etiology*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D005773:Gastroscopy; D006801:Humans; D006975:Hypertension, Portal / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D017082:Portal Pressure; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000503:physiopathology; D015607:Stents; D016896:Treatment Outcome
keywords: Arterioportal fistula; Endovascular aortic repair; Portal hypertension
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