Melena-associated regional portal hypertension caused by splenic arteriovenous fistula |
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Authors: | Chen Bin Tang Cheng-Wei Zhang Chun-Le Cao Jia-Wei Wei Bo Li Xiao |
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Institution: | Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China. |
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Abstract: | Regional portal hypertension is a rare cause of upper gastrointestinal bleeding. We reported an extremely rare case in which regional portal hypertension was associated with both the splenic arteriovenous fistula and chronic pancreatitis. In June 2010, our patient, a 41-year-old man, was admitted to a local hospital due to a sudden melena and dizziness without haematemesis and jaundice. The splenic arteriovenous fistula in this patient was successfully occluded through transcatheter arterial embolization. At the 12-mo follow-up, our patient was in good condition. |
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Keywords: | Regional portal hypertension Splenic arteriovenous fistulas Pancreatitis Transcatheter arterial embolization Upper gastrointestinal bleeding |
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