经皮肝穿刺门静脉栓塞术治疗特发性肝内动脉门静脉瘘所致严重门静脉高压症：一例报告

Portal Embolisation as Treatment of Severe Portal Hypertension Due to Idiopathic Intrahepatic Arterioportal Fistula: A Case Report.

作者信息

Klompenhouwer Anne J, Moelker Adriaan, Murad Sarwa D, den Hoed Caroline M, Maan Raoel

机构信息

Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

Department of Radiology and Nuclear Medicine, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

出版信息

J Clin Exp Hepatol. 2024 Mar-Apr;14(2):101295. doi: 10.1016/j.jceh.2023.10.006. Epub 2023 Oct 20.

DOI:10.1016/j.jceh.2023.10.006

PMID:38076444

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10709512/

Abstract

Intrahepatic arterioportal fistula (IAPF) is a rare cause of portal hypertension. Treatment is usually aimed at restoring the normal portal hemodynamics by obliterating the shunt. This report describes a case of idiopathic IAPF with severe portal hypertension complicated by portal enteropathy with vomiting, gastrointestinal hemorrhage and sepsis. The patient was successfully treated with portal embolization.

摘要

肝内动脉门静脉瘘（IAPF）是门静脉高压的一种罕见病因。治疗通常旨在通过闭塞分流来恢复正常的门静脉血流动力学。本报告描述了一例特发性IAPF伴严重门静脉高压并伴有门静脉性肠病，出现呕吐、胃肠道出血和脓毒症的病例。该患者通过门静脉栓塞术成功治愈。