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