Open AccessMelena-associated regional portal hypertension caused by splenic arteriovenous fistula
Author(s) -
Bin Chen,
Cheng-Wei Tang,
Chunle Zhang,
Ji Cao,
Bo Wei,
Xiao Li
Publication year - 2012
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v18.i16.1996
Subject(s) - melena , medicine , portal hypertension , arteriovenous fistula , pancreatitis , fistula , embolization , splenic artery , upper gastrointestinal bleeding , surgery , jaundice , gastrointestinal bleeding , splenic vein , radiology , endoscopy , cirrhosis
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.