Arterioportal Fistula in Cirrhosis: A Case Report

Zulistian Nurul Hidayati, Budi Widodo

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Hepatic arterioportal fistula is a rare but treatable condition that may worsen pre-existing portal hypertension in cirrhosis patients. Embolization is the treatment of choice. Case Presentation: A 60-year-old woman with a 6-year history of liver cirrhosis presented with upper gastrointestinal bleeding and an impaired level of consciousness. Endoscopic examination revealed large fundal varices. Computed tomography angiography of the abdomen revealed an incidental arterioportal fistula without prior history of abdominal trauma or liver procedure. Successful embolization was achieved. Conclusion: This case highlighted the need to consider arterioportal fistula as an aggravating factor of existing portal hypertension through precise examination and treatment.

Original languageEnglish
Pages (from-to)S179-S184
JournalGaceta Medica de Caracas
Volume131
DOIs
Publication statusPublished - Apr 2023

Keywords

  • Fistula
  • fibrosis
  • liver

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