Korean J Med.  2007 Jul;73(1):76-80.

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

Affiliations
  • 1Department of Internal Medicine, Hanyang University College of Medicine, Guri, Korea. sonjh@hanyang.ac.kr

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.

Keyword

Esophageal varices; Hematemesis; Hemangioma; Portal hypertension; Liver cirrhosis

MeSH Terms

Esophageal and Gastric Varices*
Fibrosis*
Hemangioma*
Hematemesis
Humans
Hypertension, Portal
Kidney Failure, Chronic
Ligation
Liver
Liver Cirrhosis
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