Massive ascites caused by intra-pancreatic arterioportal fistula: a rare complication of chronic pancreatitis
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- 作者：Tomoo Yamazaki ; Yasuhide Ochi ; Naoki Tanaka…
- 关键词：Chronic pancreatitis ; Arterioportal fistula ; Ascites ; Coil embolization
- 刊名：Clinical Journal of Gastroenterology
- 出版年：2017
- 出版时间：February 2017
- 年：2017
- 卷：10
- 期：1
- 页码：73-78
- 全文大小：
- 刊物主题：Gastroenterology; Hepatology; Abdominal Surgery; Colorectal Surgery; Surgical Oncology;
- 出版者：Springer Japan
- ISSN：1865-7265
- 卷排序：10
文摘
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.