17 December 2024
: Case report 
Life-Threatening Esophageal Variceal Hemorrhage in a 7-Year-Old Boy with Massive Portal Vein Enlargement Due to Congenital Arterioportal Fistula
Unusual clinical course, Management of emergency care
Adam Dobek
ABCDEF 1*, Katarzyna Stefańczyk-Jakubowicz BF 2, Rafał Maciąg ABE 3, Przemysław Przewratil AEF 4, Wojciech Szubert ABE 1, Ludomir Stefańczyk ABCDEFG 1
DOI: 10.12659/AJCR.946013
Am J Case Rep 2024; 25:e946013
Figure 1. Computed tomography, post-contrast images (portal phase), axial view: (A) The image shows a significantly dilated left branch of the portal vein (47 mm) (black arrow) compared to the right branch (white arrow), due to the presence of an arterioportal fistula (APF). (B) The image shows thickening of the gastric wall as a consequence of infection (white star) and tortuous, dilated vessels in the area of the gastric fundus and esophagus (white arrow).