A case of esophageal variceal bleeding due to a hepatic arterioportal shunt through a hemangioma in cirrhosis

Jae Yoon Jeong,; Joo Hyun Sohn,; Byoung Kwan Son,; Dong Soo Han,; Min Ho Lee,; Dong Hoo Lee,; Choon Suk Kee,

Korean J Med > Volume 73(1); 2007 > Article

Original Article

The Korean Journal of Medicine 2007;73(1):76-80.

A case of esophageal variceal bleeding due to a hepatic arterioportal shunt through a hemangioma in cirrhosis

Jae Yoon Jeong, Joo Hyun Sohn, Byoung Kwan Son, Dong Soo Han, Min Ho Lee, Dong Hoo Lee, Choon Suk Kee

이화여자대학교 의과대학 내과학교실

증례 : 간경변에서 혈관종을 통한 간동맥-문맥간 단락에 의한 식도정맥류 출혈

정재윤, 손주현, 손병관, 한동수, 이민호, 이동후, 기춘석

Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea

Abstract

The hepatic hemangioma is the most common benign tumor in the liver. Most hemangiomas are asymptomatic and treatment is not required. Rarely, complications occur due to a hepatic arterioportal shunt through a large high-flow hemangioma. We report a case of recurrent esophageal variceal bleeding despite repeated esophageal variceal ligation (EVL) due to a hepatic arterioportal shunt through a large high-flow hemangioma that was successfully treated with hepatic arterial embolization, in a patient with cirrhosis and end stage renal disease.(Korean J Med 73:76-80, 2007)

Key Words: Esophageal varices, Hematemesis, Hemangioma, Portal hypertension, Liver cirrhosis