Massive ascites caused by intra-pancreatic arterioportal fistula: a rare complication of chronic pancreatitis
| Autor: | Yugo Iwaya, Etsuo Hara, Tomoharu Watanabe, Tomoo Yamazaki, Takayuki Watanabe, Naoki Tanaka, Shun Imai, Osamu Hasebe, Eiji Tanaka, Yasuhide Ochi, Ayako Seki |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Fistula Retention Cyst Endoscopy Gastrointestinal 030218 nuclear medicine & medical imaging 03 medical and health sciences Pancreatic Fistula 0302 clinical medicine Hepatic Artery Internal medicine Pancreatitis Chronic Ascites medicine Humans Ultrasonography Pancreatic duct Aged 80 and over business.industry Portal Vein Gastroenterology General Medicine Hepatology medicine.disease Embolization Therapeutic medicine.anatomical_structure Arteriovenous Fistula Pancreatitis 030211 gastroenterology & hepatology Radiology medicine.symptom Complication business Tomography X-Ray Computed Abdominal surgery |
| Zdroj: | Clinical journal of gastroenterology. 10(1) |
| ISSN: | 1865-7265 |
| Popis: | An 86-year-old man with a long-term habit of ethanol consumption was admitted due to massive transudate ascites and leg edema. Abdominal computed tomography revealed a dilated main pancreatic duct and atrophied pancreatic parenchyma, leading to the diagnosis of chronic pancreatitis. Moreover, the portal vein was enhanced in the early arterial phase, which indicated the presence of an arterioportal fistula. The fistula was located between the posterior superior pancreaticoduodenal artery and the portal vein near a pancreatic retention cyst. Transarterial coil embolization dramatically improved the ascites. Arterioportal fistula and ensuing ascites should be recognized as a complication of chronic pancreatitis. |
| Databáze: | OpenAIRE |
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