%0 Journal Article
%T Portal Hypertension and Ascites Due to an Arterioportal Fistula: Sequela of a Remote Traumatic Liver Laceration
%A Benjamin M. Hulkower
%A Marwan Ghabril
%A Sabah Butty
%J Archive of "ACG Case Reports Journal".
%D 2016
%R 10.14309/crj.2016.94
%X Arterioportal fistulas (APFs) are a group of vascular disorders, in which systemic arteries communicate with the portal circulation, presenting as a congenital syndrome or more commonly acquired from iatrogenic instrumentation or abdominal trauma. We report the case of a 58-year-old man who developed ascites without underlying risk factors for portal hypertension, which was attributed to an APF found on imaging, manifesting 43 years after sustaining a liver laceration. After angiographic embolization of the APF, the patient¡¯s ascites resolved completely. The prolonged latent period between the patient¡¯s abdominal trauma and eventual presentation with ascites highlights the need to consider vascular malformations in the differential diagnosis of unexplained noncirrhotic portal hypertension
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5062674/