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KMID : 0882420070730010076
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Korean Journal of Medicine
2007 Volume.73 No. 1 p.76 ~ p.80
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A case of esophageal variceal bleeding due to a hepatic arterioportal shunt through a hemangioma in cirrhosis
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Jeong Jae-Yoon
Sohn Byong-Kwan
Sohn Joo-Hyun
Han Dong-Soo
Lee Min-Ho
Lee Dong-Hoo
Kee Choon-Suk
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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.
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KEYWORD
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Esophageal varices, Hematemesis, Hemangioma, Portal hypertension, Liver cirrhosis
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