ANGIOGRAPHIC EMBOLIZATION OF INTRAHEPATIC ARTERIOPORTAL FISTULA

We report the case of a posttraumatic arteriovenous fistula between th e right hepatic artery and the right portal vein remarkable in that cl inical manifestations, including portal hypertension and mesenteric in sufficiency findings, appeared latently and progressively worsened. Th is hepatoportal fistula was diagnosed by Doppler sonography and succes sfully treated by transcatheter embolization of feeding hepatic artery branch with steel coils. We emphasize the interest of pulsed Doppler in the diagnosis of hepatoportal fistula, in assessment of hemodynamic changes related to the fistula, and in follow-up after treatment.