We present a case of unsuspected extrahepatic arterial-main portal venous f
istula diagnosed by multiphase computed tomography with three-dimensional v
olume-rendered computed tomographic angiography. To our knowledge, this ent
ity has not been reported previously in the literature, and it represents a
n example of pathology that may only be detected and clarified with multiph
ase imaging with three-dimensional rendering. This finding has great clinic
al importance in patient management.