Endovascular treatment of portal hypertension and recurrent digestive hemorrhage secondary to arterioportal fistula syndrome: Late complication of penetrating abdominal trauma

Bertanha, Matheus [UNESP]Moura, Regina [UNESP]Jaldin, Rodrigo Gibin [UNESP]Sobreira, Marcone Lima [UNESP]Curtarelli, ArthurRosa, Felipe Damacena [UNESP]Sembenelli, Marcelo [UNESP]Yoshida, Winston Bonetti [UNESP]2020-12-122020-12-122020-01-01Jornal Vascular Brasileiro, v. 19.1677-73011677-5449http://hdl.handle.net/11449/200516The arterioportal fistula (APF) syndrome is a rare and reversible cause of pre-sinusoidal portal hypertension, caused by communication between a visceral artery and the portal venous system. Most patients are asymptomatic, but when they do develop symptoms, these are mainly related to gastrointestinal bleeding, ascites, congestive heart failure, and diarrhea. This therapeutic challenge presents a case of APF caused by a 20-year-old stabbing injury with unfavorable late clinical evolution, including significant malnutrition and severe digestive hemorrhages. The patient was treated using an endovascular procedure to occlude of the fistula.engArteriovenous fistulaEndovascular proceduresPenetrating woundsPortal hypertensionVascular fistulaEndovascular treatment of portal hypertension and recurrent digestive hemorrhage secondary to arterioportal fistula syndrome: Late complication of penetrating abdominal traumaTratamento endovascular da hipertensão portal e da hemorragia digestiva recorrente e secundária à síndrome da fístula arterioportal: Complicação tardia de trauma abdominal penetranteArtigo10.1590/1677-5449.190136S1677-54492020000100307Acesso aberto2-s2.0-85085396363S1677-54492020000100307.pdf