Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
4157921 | Journal of Pediatric Surgery | 2009 | 4 Pages |
Abstract
Intrahepatic arterioportal fistula (IAPF) is a rare cause of portal hypertension in young children. We report the case of a 2-year-old girl with severe undernutrition, chronic watery diarrhea, and gastrointestinal bleeding because of a congenital intrahepatic arterioportal fistula. Radiographic embolization and surgical ligation of the left hepatic artery were attempted, with no resolution of the symptoms. So, a left lobectomy was performed, with excellent results and prompt disappearance of the diarrhea. Hepatectomy should be considered as a definitive and reliable therapy for congenital IAPF.
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Authors
Ana Cristina Aoun Tannuri, Uenis Tannuri, Fabiana Roberto Lima, Luiz Roberto Schlaich Ricardi, Antonio José Gonçalves Leal, Marcos Marques da Silva,