Gastric Varices Rupture due to Splenic Vein Obstruction Associated with Autoimmune Pancreatitis

  • Iwasa Yuhei
    Department of Gastroenterology, Gifu Municipal Hospital, Japan
  • Iwata Keisuke
    Department of Gastroenterology, Gifu Municipal Hospital, Japan
  • Okuno Mitsuru
    Department of Gastroenterology, Gifu Municipal Hospital, Japan
  • Iwashita Takuji
    Department of Gastroenterology, Gifu University Graduate School of Medicine, Japan
  • Uemura Shinya
    Department of Gastroenterology, Gifu University Graduate School of Medicine, Japan
  • Tezuka Ryuichi
    Department of Gastroenterology, Gifu University Graduate School of Medicine, Japan
  • Senju Akihiko
    Department of Gastroenterology, Gifu University Graduate School of Medicine, Japan
  • Shimizu Masahito
    Department of Gastroenterology, Gifu University Graduate School of Medicine, Japan

抄録

<p>A 60-year-old man with a high IgG4 level was found to have pancreatic tail enlargement on computed tomography (CT), and autoimmune pancreatitis (AIP) was confirmed by a histological diagnosis. He was treated with prednisolone for one year and seven months, at which point his treatment finished. Four months later, however, he had hematemesis from gastric varices. CT showed recurrence of pancreatic tail enlargement with obstruction of the splenic artery and vein and formation of collateral blood vessels to the gastric fornix. Endoscopic injection sclerotherapy was performed, and he underwent splenectomy. This case highlights the importance of paying attention to peripancreatic vascular abnormalities during follow-up of AIP patients. </p>

収録刊行物

  • Internal Medicine

    Internal Medicine 63 (7), 943-948, 2024-04-01

    一般社団法人 日本内科学会

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