Author(s): Bertanha, Matheus [UNESP] ; Moura, Regina [UNESP] ; Jaldin, Rodrigo Gibin [UNESP] ; Sobreira, Marcone Lima [UNESP] ; Curtarelli, Arthur ; Rosa, Felipe Damacena [UNESP] ; Sembenelli, Marcelo [UNESP] ; Yoshida, Winston Bonetti [UNESP]
Date: 2020
Persistent ID: http://hdl.handle.net/11449/200516
Origin: Oasisbr
Subject(s): Arteriovenous fistula; Endovascular procedures; Penetrating wounds; Portal hypertension; Vascular fistula
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The 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.
Universidade Estadual Paulista “Júlio de Mesquita Filho” – UNESP Cirurgia e Ortopedia
Universidade Positivo Faculdade de Medicina
Universidade Estadual Paulista “Júlio de Mesquita Filho” – UNESP Cirurgia e Ortopedia
