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Arterioportal fistula following liver biopsy - Three cases occurring in liver transplant recipients

Jabbour, N and Reyes, J and Zajko, A and Nour, B and Tzakis, AG and Starzl, TE and van Thiel, DH (1995) Arterioportal fistula following liver biopsy - Three cases occurring in liver transplant recipients. Digestive Diseases and Sciences, 40 (5). 1041 - 1044. ISSN 0163-2116

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Abstract

Although liver biopsy is a very useful procedure used frequently in the diagnosis and management of liver dysfunction occurring after orthotopic liver transplantation, complications can occur with its use. An unusual complication of arterioportal fistula is reported here. Based upon this small series of an unusual event and the knowledge that the posttransplant liver may be more hypervascular than prior to OLTx and that it is uniquely susceptible to hepatic infarction and abscess formation, any attempt at fistula closure should be considered carefully prior to initiating the therapy (15). Unless a serious complication occurs [such as a transient biliary obstruction due to hemobilia as occurred in case 2, portal hypertension as also occurred in case 2, or systemic sepsis or other symptoms develop related directly to the fistula], simple observation may be the best choice of action. Should therapy be required, hepatic arterial embolization should be reserved for adults with intrahepatic fistulas. Primary surgical closure of intrahepatic fistula should be reserved for cases of extrahepatic fistula. © 1995 Plenum Publishing Corporation.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Jabbour, N
Reyes, J
Zajko, A
Nour, B
Tzakis, AG
Starzl, TEtes11@pitt.eduTES11
van Thiel, DH
Centers: Other Centers, Institutes, or Units > Thomas E. Starzl Transplantation Institute
Date: 1 May 1995
Date Type: Publication
Journal or Publication Title: Digestive Diseases and Sciences
Volume: 40
Number: 5
Page Range: 1041 - 1044
DOI or Unique Handle: 10.1007/bf02064196
Institution: University of Pittsburgh
Refereed: Yes
ISSN: 0163-2116
Other ID: uls-drl:31735062126689, Starzl CV No. 1805
Date Deposited: 08 Apr 2010 17:30
Last Modified: 03 Feb 2019 02:55
URI: http://d-scholarship.pitt.edu/id/eprint/5191

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