Abstract

MOREIRA, Joana et al. A rare cause of portal hypertension: Case report. Angiol Cir Vasc [online]. 2011, vol.7, n.2, pp.99-102. ISSN 1646-706X.

A case report of a patient with a framework for portal hypertension due to the presence of arteriovenous fistula between the gastroduodenal artery and portal vein is presented. A 77 years male previously healthy with a recent ascites appeared with a digestive hemorrhage caused by rupture of esophageal varices. Abdominal CT scan revealed marked dilatation of the portal vein (30 mm) related with an arteriovenous fistula between this vein and the gastroduodenal artery, liver without chronic liver disease stigmata and without nodules; remarkable ascites. Laparotomy, drainage of ascites, isolation and ligation of the journey fistula between the gastroduodenal artery and portal vein was performed. No intraoperative complications. Discharged the 18th postoperative day after regression of ascites, treated with diuretics.

Keywords : arterio-portal fistula; portal hypertension; surgical treatment.

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