Gailleton R, Gayral F
Service de Chirurgie Générale et Digestive, Centre Hospitalier de Tarbes.
Ann Chir. 1996;50(3):276-8.
We report a case of hepatico-portal fistula following liver needle biopsy in a cirrhotic patient with repeated gastrointestinal bleeding related to esophageal varices. Angiographic embolization of the fistula was carried out because of its possible role in portal hypertension, and the potential risks of primary porta-caval shunt. Because of the failure of the embolization, we performed porta-caval shunt with no complications, apart from the hepaticoportal fistula.
我们报告一例肝硬化患者在进行肝穿刺活检后发生肝门静脉瘘,该患者因食管静脉曲张反复出现胃肠道出血。由于肝门静脉瘘可能在门静脉高压中起作用,且存在原发性门腔分流术的潜在风险,因此对瘘进行了血管造影栓塞术。由于栓塞失败,我们进行了门腔分流术,除肝门静脉瘘外未出现并发症。