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创伤性高流量动门脉瘘。覆膜支架矫正术。

Traumatic high flow arterioportal fistula. Correction by a covered stent.

作者信息

Torres Cuevas Boris Luis, Castillo Lara Gloria Esther, Páez Suárez Dayron, Eilers Mark

机构信息

Radiologia Intervencionista, Hospital Clínico Quirúrgico Hermanos Ameijeiras, Cuba.

Radiología Vascular Intervencionista, Instituto de Neurología y Neurocirugía, Cuba.

出版信息

Rev Esp Enferm Dig. 2023 Jan;115(1):39-40. doi: 10.17235/reed.2022.8724/2022.

Abstract

The arterio-portal fistula is a rare entity, generally associated with different causes, among which penetrating trauma stands out. They can occur at the beginning asymptomatic or manifest by a wide spectrum of signs and symptoms with severe limitation of the patient's quality of life and even compromise it. Immediate therapeutic action, whether surgical or endovascular, is vital for the definitive solution of the primary triggering cause. We present the case of a patient with a stab wound to the abdomen who developed an arterioportal fistula with associated portal hypertension as a complication. It is treated by placing a covered stent at the level of the anomalous communication, with definitive clinical and imaging resolution.

摘要

动门脉瘘是一种罕见的病症,通常与多种不同病因相关,其中穿透性创伤最为突出。它们起初可能无症状,或表现为各种各样的体征和症状,严重限制患者的生活质量,甚至对其造成损害。无论是手术治疗还是血管内治疗,立即采取治疗措施对于最终解决主要触发病因至关重要。我们报告一例腹部刺伤患者,其作为并发症出现了伴有门静脉高压的动门脉瘘。通过在异常交通部位放置覆膜支架进行治疗,临床和影像学检查结果均显示病情得到彻底缓解。

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