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 2. Digital subtraction angiography images. (A) The APF between branches of the right hepatic artery (white arrow) in the region of liver segment IV and the left branch of the portal vein (black arrow). Significant dilation of the left upper branch of the portal vein to 47 mm is observed. Four branches of the hepatic artery supplying the APF are identified. (B) The branches of the hepatic artery supplying the APF were selectively embolized. The normal branch of the hepatic artery remains contrast-filled (black arrow), and previously implanted occluders are visible (stars). (C) Post-embolization image of the APF; no detectable flow in the dilated portal vein is observed.