The posttraumatic arterioportal intrahepatic fistula

Traumatic arterioportal fistulas (APF) are very rare. The most common reaso ns are liver biopsy and liver injuries. They are also caused by liver tumou rs and vessel anomalies. This is a case-report of a patient who developed a n APF after blunt abdominal trauma. The fistula bearing part of the liver w as resected in two sessions. In cases of large APFs with a flow from multip le collaterals the therapy of choice is the embolization. If not possible a selective excision of the fistulous sac or the resection of the fistula co ntaining liver segment are recommended.