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

Nicolas Jabbour, Jorge Reyes, Albert Zajko, Bakr Nour, Andreas G. Tzakis, Thomas E. Starzl, David H. van Thiel

Research output: Contribution to journalArticle

38 Citations (Scopus)

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 languageEnglish
Pages (from-to)1041-1044
Number of pages4
JournalDigestive Diseases and Sciences
Volume40
Issue number5
DOIs
Publication statusPublished - May 1995
Externally publishedYes

Fingerprint

Fistula
Biopsy
Liver
Hemobilia
Liver Abscess
Portal Hypertension
Liver Transplantation
Infarction
Transplant Recipients
Liver Diseases
Sepsis
Observation
Therapeutics

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 journalArticle

Jabbour, Nicolas ; Reyes, Jorge ; Zajko, Albert ; Nour, Bakr ; Tzakis, Andreas G. ; Starzl, Thomas E. ; van Thiel, David H. / Arterioportal fistula following liver biopsy - Three cases occurring in liver transplant recipients. In: Digestive Diseases and Sciences. 1995 ; Vol. 40, No. 5. pp. 1041-1044.
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