Successful coil embolization of an arterioportal fistula evolving 12 years after gastrojejunostomy

Cs Csobay-Novák, B. Nemes, Gy Balázs, Kálmán Hüttl

Research output: Contribution to journalArticle

Abstract

Arterioportal fistula - either acquired or congenital - is a rare syndrome, which is a real challenge in gastroenterologic diagnostics. We report a case of a 76-year-old female, who was admitted to the hospital with symptoms of permanent abdominal pain and a bruit in the epigastric region. Twelve years prior she underwent Billroth II gastrojejunostomy due to a perforating duodenal ulcer, followed by cholecystectomy 6 months later. CT and MR angiography showed a fistula between the gastroduodenal artery and the portal vein. Successful treatment of the arterioportal fistula was achieved by intravascular coil embolization resulting in the resolution of the symptoms. After six years of follow-up, abdominal ultrasonography did not show any novel findings and our patient is still doing well with no recurrence.

Original languageEnglish
Pages (from-to)87-90
Number of pages4
JournalInterventional Medicine and Applied Science
Volume2
Issue number2
DOIs
Publication statusPublished - Jun 1 2010

Fingerprint

Gastric Bypass
Fistula
Gastroenterostomy
Cholecystectomy
Duodenal Ulcer
Portal Vein
Abdominal Pain
Ultrasonography
Arteries
Recurrence
Therapeutics

Keywords

  • arterial catheterization
  • Billroth II
  • endovascular
  • extrahepatic
  • gastroduodenal artery
  • partial gastrectomy

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Successful coil embolization of an arterioportal fistula evolving 12 years after gastrojejunostomy. / Csobay-Novák, Cs; Nemes, B.; Balázs, Gy; Hüttl, Kálmán.

In: Interventional Medicine and Applied Science, Vol. 2, No. 2, 01.06.2010, p. 87-90.

Research output: Contribution to journalArticle

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