The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2007;73(1):76-80.
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
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
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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)

Keywords :Esophageal varices, Hematemesis, Hemangioma, Portal hypertension, Liver cirrhosis
ics samyangbiopharm Hanmi
yungjin

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