Abstract

Hepatic arterioportal fistulae are a rare cause of portal hypertension. The case is reported of a twoyear old girl with a congenital arterioportal fistula, who presented with splenomegaly and ascites. Colour doppler ultrasound showed a large shunt between the left hepatic artery and a branch of the left portal vein, producing a reversal of flow in the main portal vein. She was treated by a formal left hemihepatectomy, which has been successful in eliminating the fistula and its consequent portal hypertension in the long term. The literature regarding arterioportal fistulae and their treatment is reviewed.

Highlights

  • Case ReportHepatic Arterioportal Fistula: A Curable Cause of Portal Hypertension in Infancy

  • Fistulae between the hepatic artery and portal vein are an uncommon but potentially curable cause of portal hypertension

  • There are a number of reported causes of arterioportal fistulae, which may be either intraor extra-hepatic

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Summary

Case Report

Hepatic Arterioportal Fistula: A Curable Cause of Portal Hypertension in Infancy. Hepatic arterioportal fistulae are a rare cause of portal hypertension. The case is reported of a twoyear old girl with a congenital arterioportal fistula, who presented with splenomegaly and ascites. Colour doppler ultrasound showed a large shunt between the left hepatic artery and a branch of the left portal vein, producing a reversal of flow in the main portal vein. She was treated by a formal left hemihepatectomy, which has been successful in eliminating the fistula and its consequent portal hypertension in the long term. The literature regarding arterioportal fistulae and their treatment is reviewed

INTRODUCTION
CASE REPORT
DISCUSSION

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