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.
| Original language | English |
|---|---|
| Pages (from-to) | 1041-1044 |
| Number of pages | 4 |
| Journal | Digestive Diseases and Sciences |
| Volume | 40 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - May 1995 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Physiology
- Gastroenterology
Cite this
Arterioportal fistula following liver biopsy - Three cases occurring in liver transplant recipients. / Jabbour, Nicolas; Reyes, Jorge; Zajko, Albert; Nour, Bakr; Tzakis, Andreas G.; Starzl, Thomas E.; van Thiel, David H.
In: Digestive Diseases and Sciences, Vol. 40, No. 5, 05.1995, p. 1041-1044.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Arterioportal fistula following liver biopsy - Three cases occurring in liver transplant recipients
AU - Jabbour, Nicolas
AU - Reyes, Jorge
AU - Zajko, Albert
AU - Nour, Bakr
AU - Tzakis, Andreas G.
AU - Starzl, Thomas E.
AU - van Thiel, David H.
PY - 1995/5
Y1 - 1995/5
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0029072628&partnerID=8YFLogxK
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U2 - 10.1007/BF02064196
DO - 10.1007/BF02064196
M3 - Article
VL - 40
SP - 1041
EP - 1044
JO - American Journal of Digestive Diseases
JF - American Journal of Digestive Diseases
SN - 0002-9211
IS - 5
ER -