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Pediatric Radiology

, Volume 38, Issue 11, pp 1253–1256 | Cite as

Coil embolization of a congenital intrahepatic arterioportal fistula: increasing experience in management

  • Umut Ozyer
  • Ismail Kırbas
  • Cuneyt Aytekin
  • Baris Hasdogan
Case Report

Abstract

Congenital intrahepatic arterioportal fistula (IAPF) is a rare condition and there is limited experience of transcatheter embolization. We report here the transcatheter coil embolization of an incidentally found, asymptomatic congenital IAPF in a 16-month-old patient. After demonstrating that the IAPF was fed by two branches of a dilated left hepatic artery and drained into an aneurysm of the left portal vein, the feeding arteries were superselectively catheterized and occluded by microcoils in a single session. Follow-up was uneventful for 1 year. With respect to this and previously reported cases, we believe that embolization of feeding arteries is a safe and effective method that should be the primary choice of treatment; however, further cases should be reported to confirm this belief.

Keywords

Liver Congenital Arterioportal fistula Embolization 

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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Umut Ozyer
    • 1
  • Ismail Kırbas
    • 2
  • Cuneyt Aytekin
    • 1
  • Baris Hasdogan
    • 1
  1. 1.Department of Radiology, Faculty of MedicineBaskent UniversityBahcelievlerTurkey
  2. 2.Department of Radiology, Faculty of MedicineFatih UniversityBeştepeTurkey

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