Int J Gastrointest Interv.  2022 Jan;11(1):35-38. 10.18528/ijgii210022.

Transhepatic glue injection for hepatic pseudoaneurysm and arteriohepatic venous fistula after the failure of transarterial embolization

Affiliations
  • 1Department of Radiology, Viet Duc University Hospital, Hanoi, Vietnam
  • 2Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh, Vietnam
  • 3Department of Radiology, Children’s Hospital 2, Ho Chi Minh, Vietnam

Abstract

The liver is the most frequently injured organ during abdominal trauma. Vascular injuries account for approximately 3% to 25% of all cases of liver trauma and are typically treated by transarterial embolization (TAE). We describe a case of American Association for the Surgery of Trauma grade V liver injury with a very large pseudoaneurysm and an arteriohepatic venous fistula (AHVF), which failed to respond to TAE. This case was successfully treated using a direct transhepatic glue injection without complications. AHVF is an exceedingly rare type of vascular injury in blunt trauma. Direct transhepatic glue injections could represent a reliable alternative to TAE for the treatment of visceral pseudoaneurysms, especially if TAE fails to eliminate the lesion.

Keyword

Abdominal injuries; Arteriovenous fistula; False aneurysm; Hemoperitoneum; Rupture
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