Múgica F, Merino J L, Merino S, Huarte I, Goenaga M A, Egaña J M, Muñagorri A
Servicio de Aparato Digestivo, Hospital de Guipúzcoa, San Sebastián.
Gastroenterol Hepatol. 1995 Oct;18(8):420-4.
The case of a 60-year-old patient who was repeatedly admitted for ascitic decompensation secondary to hyperflow portal hypertension provoked by congenital arteriovenous malformation of the superior mesenteric artery is presented. Diagnosis was performed by arteriography. Surgical treatment was conducted with total resection of the malformation thereby achieving complete resolution and normalization of portal pressure. The literature is reviewed and the pathophysiologic mechanism as well as the clinical manifestations, diagnosis and treatment are discussed.
本文介绍了一名60岁患者的病例，该患者因肠系膜上动脉先天性动静脉畸形引发高流量门静脉高压继发腹水失代偿而反复入院。通过动脉造影进行诊断。手术治疗采用畸形完全切除术，从而使门静脉压力完全恢复正常。本文回顾了相关文献，并讨论了病理生理机制以及临床表现、诊断和治疗方法。
