Abstract
We report on a newborn with a large arterioportal fistula of the liver complicated by a sudden reversal of flow in the portal and superior mesenteric vein, leading to congestion and ischemia of the small intestine. Ultrasound, duplex Doppler sonography and angiographic features are presented. Ligation of the hepatic artery led to a complete recovery.
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Grybosky JD, Clemett A (1967) Congenital hepatic artery aneurysm with superior mesenteric artery insufficiency: a steal syndrome. Pediatrics 39: 344–346
Helikson MA, Shapiro DL, Seashore JH (1977) Hepatoportal arteriovenous fistula and portal hypertension in an infant. Pediatrics 60: 921–924
Inon AE, DÁgostino D (1987) Portal hypertension secondary to congenital arterioportal fistula. J Pediatr Gastroenterol Nutr 6: 471–473
Von Stiglbauer R, Hübsch P, Gritzmann N (1988) Zur Diagnose arterioportaler Kurzschlußverbindungen der Leber mittels gepulster und farbkodierter Doppler-Sonographie. Fortschr Röntgenstr 149: 214–215
Kriegshauser SJ (1988) Hepatic veno-occlusive disease after bone marrow transplantation: diagnosis with duplex sonography. AJR 150: 289–290
Takayasu K, Takashi M, Musha H (1982) Spontaneous reversal or portal blood flow demonstrated by percutaneous transhepatic catheterization: report of two cases. Gastroenterology 82: 753–757
Ohnishi K, Saito M, Sato S (1985) Direction of splenic venous flow assessed by pulsed Doppler flowmetry in patients with a large splenorenal shunt. Gastroenterology 89: 180–185
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Bakker, J., Robben, S.G.F., Hazebroek, F.W.J. et al. Congenital arterioportal fistula of the liver with reversal of flow in the superior mesenteric vein. Pediatr Radiol 24, 198–199 (1994). https://doi.org/10.1007/BF02012190
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DOI: https://doi.org/10.1007/BF02012190