Unusual case of digestive hemorrhage: Celiac axis-portal vein arteriovenous fistula

doi:10.3748/wjg.v21.i4.1362

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Jan 28, 2015 (publication date) through Mar 12, 2026

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World Journal of Gastroenterology

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1007-9327

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World J Gastroenterol. Jan 28, 2015; 21(4): 1362-1364
Published online Jan 28, 2015. doi: 10.3748/wjg.v21.i4.1362

Unusual case of digestive hemorrhage: Celiac axis-portal vein arteriovenous fistula

Yi-Ren Liu, Bin Huang, Ding Yuan, Zhou-Peng Wu, Ji-Chun Zhao

Yi-Ren Liu, Bin Huang, Ding Yuan, Zhou-Peng Wu, Ji-Chun Zhao, Department of vascular surgery, West China Hospital, Sichuan University, 37 Guo Xue Alley, Chengdu 610041, Sichuan Province, China

Author contributions: Liu YR and Huang B are joint first authors and performed the majority of experiments; Zhao JC designed the study and wrote the manuscript; Yuan D was involved in editing the manuscript; and Wu ZP collected the human samples.

Correspondence to: Ji-Chun Zhao, MD, Department of vascular surgery, West China Hospital, Sichuan University, 37 Guo Xue Alley, Chengdu 610041, Sichuan Province, China. hxzhao6@163.com

Telephone: +86-28-85423008 Fax: +86-28-85423008

Received: June 16, 2014
Peer-review started: June 17, 2014
First decision: June 27, 2014
Revised: August 6, 2014
Accepted: September 18, 2014
Article in press: September 19, 2014
Published online: January 28, 2015
Processing time: 224 Days and 19.6 Hours

Abstract

A case of intractable upper gastrointestinal-hemorrhage was reported in a patient with portal hypertension caused by an arterioportal fistula (APF), namely, celiac axis-portal vein arteriovenous fistula. Portal hypertension caused by extrahepatic-APFs is extremely rare. Trauma, malignancy, and hereditary causes are the common etiology of APFs; but were absent in our patient. Our patient represents an unusual case of unexplained APF who presented with portal hypertension and was successfully managed through endovascular aortic repair.

Keywords: Arterioportal fistula; Portal hypertension; Endovascular aortic repair

Core tip: We present a rare case of intractable upper gastrointestinal hemorrhage due to celiac axis-portal vein arteriovenous fistula. Through this case report, we hope to highlight diagnosis of this unusual condition, and discuss our subsequent management. This case represents an unusual cases of unexplained presenting with portal hypertension that was successfully managed through endovascular aortic repair.