Document Detail

Severe gastrointestinal tract bleeding in a two-month-old infant due to congenital intrahepatic arterioportal fistula.
MedLine Citation:
PMID:  16704913     Owner:  NLM     Status:  MEDLINE    
A 2-month-old boy was referred for assessment of severe upper gastrointestinal tract bleeding and melena. On physical examination, a continuous murmur was heard over the right upper quadrant of the abdomen. A splenomegaly and dilated veins were also noted on the abdominal wall. Liver functions were normal. There was no history of trauma or jaundice. Doppler ultrasonography, magnetic resonance arteriography and angiography suggested the presence of an intrahepatic arteriovenous fistula between the phrenic artery and the portal vein. Management consisted of successful embolization by coiling of the phrenic artery. To our knowledge this is the first documented case report of a congenital fistula between the phrenic artery and the portal vein.
R Aarts; M M Ijland; I de Blaauw; Y Hoogeveen; C Boetes; M van Proosdij
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-05-15
Journal Detail:
Title:  European journal of radiology     Volume:  59     ISSN:  0720-048X     ISO Abbreviation:  Eur J Radiol     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-06-26     Completed Date:  2006-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8106411     Medline TA:  Eur J Radiol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  25-8     Citation Subset:  IM    
Department of Radiology, University Medical Center St. Radboud, 6500 HB Nijmegen, The Netherlands.
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MeSH Terms
Arteriovenous Fistula / complications*,  congenital,  diagnosis*
Diagnosis, Differential
Gastrointestinal Hemorrhage / etiology*
Hepatic Artery / abnormalities*
Magnetic Resonance Angiography
Portal Vein / abnormalities*

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