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DOI: 10.1055/s-2000-10074
J.A.Barth Verlag in Medizinverlage Heidelberg GmbH & Co.KG
Die posttraumatische intrahepatische arterioportale Fistel
Publikationsverlauf
Publikationsdatum:
31. Dezember 2000 (online)
![](https://www.thieme-connect.de/media/zblchir/200012/lookinside/thumbnails/10.1055-s-2000-10074-1.jpg)
The posttraumatic arterioportal intrahepatic fistula
Summary
Traumatic arterioportal fistulas (APF) are very rare. The most common reasons are liver biopsy and liver injuries. They are also caused by liver tumours and vessel anomalies. This is a case-report of a patient who developed an APF after blunt abdominal trauma. The fistula bearing part of the liver was resected in two sessions. In cases of large APFs with a flow from multiple collaterals the therapy of choice is the embolization. If not possible a selective excision of the fistulous sac or the resection of the fistula containing liver segment are recommended.
Zusammenfassung
Traumatisch bedingte arterioportale Fisteln (APF) sind sehr selten. Ursachen sind überwiegend Feinnadelbiopsien oder Zustände nach Leberrupturen. Auch im Zusammenhang mit Lebertumoren oder Gefäßanomalien werden APF diagnostiziert. Es wird über einen Patienten berichtet, der nach einem stumpfen Bauchtrauma eine APF entwickelt hat und bei dem in zwei operativen Sitzungen der fisteltragende Leberabschnitt erfolgreich saniert wurde. Bei großen APF mit multiplen Zuflüssen ist die Embolisation die primäre Therapie. Falls diese nicht gelingt und es von der Lokalisation möglich ist, sollte als nächstes Verfahren die selektive chirurgische Exstirpation des Fistelsacks oder die Resektion des fisteltragenden Leberabschnitts angestrebt werden.
Key words
Arterioportal fistula - liver injury - excision of ¿fistula - embolization
Schlüsselwörter
Arterioportale Fistel - Leberruptur - Fistelexstirpation - Embolisation
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