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Case Reports
. 2014 May;30(5):557-9.
doi: 10.1007/s00383-014-3472-3. Epub 2014 Jan 22.

Surgical management of hepatic arterioportal fistula in a neonate

Priya Ramachandran  1 , N P Shanmugam, M Vij, M Rela
Affiliations
Case Reports

Surgical management of hepatic arterioportal fistula in a neonate

Priya Ramachandran et al. Pediatr Surg Int. 2014 May.

Abstract

Congenital arterioportal fistulae in the liver are rare malformations which can lead to portal hypertension. We report a hepatic arterioportal fistula in a neonate who presented with intestinal hypoperfusion. Computerised tomography angiography showed a fistulous communication between the left hepatic artery and portal vein with hypoperfusion of small and large bowel. A formal left hepatectomy was done followed by clinical improvement and reduction in portal venous pressures. The case and the literature pertaining to it are discussed.

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