消化道出血的罕见病例：腹腔干-门静脉动静脉瘘。
Unusual case of digestive hemorrhage: celiac axis-portal vein arteriovenous fistula.
作者信息
Liu Yi-Ren, Huang Bin, Yuan Ding, Wu Zhou-Peng, Zhao Ji-Chun
机构信息
Yi-Ren Liu, Bin Huang, Ding Yuan, Zhou-Peng Wu, Ji-Chun Zhao, Department of vascular surgery, West China Hospital, Sichuan University, 37 Guo Xue Alley, Chengdu 610041, Sichuan Province, China.
出版信息
World J Gastroenterol. 2015 Jan 28;21(4):1362-4. doi: 10.3748/wjg.v21.i4.1362.
A case of intractable upper gastrointestinal-hemorrhage was reported in a patient with portal hypertension caused by an arterioportal fistula (APF), namely, celiac axis-portal vein arteriovenous fistula. Portal hypertension caused by extrahepatic-APFs is extremely rare. Trauma, malignancy, and hereditary causes are the common etiology of APFs; but were absent in our patient. Our patient represents an unusual case of unexplained APF who presented with portal hypertension and was successfully managed through endovascular aortic repair.
报告了一例患有由动门静脉瘘（APF）引起的门静脉高压的患者出现顽固性上消化道出血的病例，即腹腔干-门静脉动静脉瘘。肝外动门静脉瘘引起的门静脉高压极为罕见。创伤、恶性肿瘤和遗传因素是动门静脉瘘的常见病因；但在我们的患者中并不存在。我们的患者是一例不明原因动门静脉瘘的特殊病例，表现为门静脉高压，并通过血管内主动脉修复成功治疗。
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