| Autor: |
Dutta S; Division of GI & HPB Surgery, Department of Surgery, 29988Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India., Chapa UK; Division of GI & HPB Surgery, Department of Surgery, 29988Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India., Ansari MI; Division of GI & HPB Surgery, Department of Surgery, 29988Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India., Vaka S; Division of GI & HPB Surgery, Department of Surgery, 29988Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India., Jain A; Division of GI & HPB Surgery, Department of Surgery, 29988Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India., Abhinaya R; Division of GI & HPB Surgery, Department of Surgery, 29988Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India., Nagarajan K; Division of Interventional Radiology, Department of Radiodiagnosis, 29988Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India., Ramakrishnaiah VPN; Division of GI & HPB Surgery, Department of Surgery, 29988Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India. |
| Abstrakt: |
Arterio-hepatic venous fistula (AHVF) is an exceedingly rare phenomenon compared to arterio-portal venous fistula with only 8 cases reported in world literature. Many listed causes can be attributed to the development of there are no reported cases of AHVF following a core-needle biopsy. We report a case of 38 year-old-female with EHPVO, who underwent splenectomy with a proximal splenorenal shunt. She had an injury to left hepatic artery, consequent to a blind intra-operative core needle biopsy from the liver, which led to the development of a fistulous connection between left hepatic artery and middle hepatic vein causing high output cardiac failure. She was successfully managed with trans-arterial embolization. The present review emphasizes the possibility of AHVF following a liver biopsy and the role of digital subtraction angiography in the diagnosis, therapeutic intravascular interventions, and follow-up. |
