Annals of Vascular Surgery

, Volume 3, Issue 1, pp 52–55 | Cite as

Iatrogenic arterioportal fistulae: Diagnosis and management

  • Ferda F. Isik
  • Alan J. Greenfield
  • Jon Guben
  • Desmond Birkett
  • James O. Menzoian
Case Reports


Arterioportal fistulae can develop from a variety of causes, either congenital, iatrogenic, or acquired. They can have a varied clinical presentation including acute upper gastrointestinal bleeding, ischemic colitis, abdominal pain, ascites, and abdominal bruit. In the past the treatment has been ligation and surgical excision of the fistula with repair of the artery and vein or hepatic lobectomy. We report two patients with arterioportal fistulae between the hepatic artery and portal vein as a result of liver biopsy and transhepatic portography. Both patients were treated successfully by nonoperative radiologic intervention.

Key words

Arterioportal fistula gastrointestinal bleeding liver biopsy 


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Copyright information

© Annals of Vascular Surgery Inc. 1989

Authors and Affiliations

  • Ferda F. Isik
    • 1
  • Alan J. Greenfield
    • 1
  • Jon Guben
    • 1
  • Desmond Birkett
    • 1
  • James O. Menzoian
    • 1
  1. 1.Departments of Surgery and RadiologyBoston University School of MedicineBoston

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