ARTERIOPORTAL FISTULA WITH PORTAL-HYPERTENSION AFTER LIVER TRAUMA ANDRESECTION - A CASE-REPORT AND REVIEW OF THE LITERATURE

We present the case of a 40-year old man, who suffered from melena and acute abdominal pain due to portal hypertension with an extrahepatic arterioportal fistula after liver trauma and resection 17 years ago. O nly a combined radiological and surgical approach was successful after open surgery had failed sind primary interventional radiological tech niques were not feasible due to anatomical reasons. Two years after tr eatment the patient has fully recovered. Hepatic arterioportal fistula following abdominal trauma, Liver resection or liver punction is a ra re cause of portal hypertension. Treatment options are discussed and t he available literature on the subject is reviewed.