Service de chirurgie digestive, CHU de la Réunion, Avenue du président Mitterrand, 97448 Saint Pierre, France.
Service de chirurgie digestive, CHU de la Réunion, Avenue du président Mitterrand, 97448 Saint Pierre, France.
J Visc Surg. 2020 Oct;157(5):446-447. doi: 10.1016/j.jviscsurg.2020.01.010. Epub 2020 Feb 5.
Arterio-portal fistula occurs relatively frequently after liver trauma; its treatment is well codified. We present here in the case of a patient with an intraparenchymal fistula between a hepatic artery branch and the right hepatic vein. Embolization via interventional radiology was considered at high risk. However, hepatic necrosis developed, leading to the performance of a right lobectomy. The literature on this type of arterio-venous fistula is scanty making it difficult to propose specific management recommendations.
动静脉瘘在肝脏创伤后相对常见；其治疗方法已得到很好的规范。我们在此介绍一例肝内分支动脉与右肝静脉之间动静脉瘘的患者。介入放射学栓塞治疗被认为风险较高。然而，患者发生肝坏死，最终进行了右半肝切除术。关于这种类型的动静脉瘘的文献很少，因此难以提出具体的治疗建议。
