Gastric Varices Rupture due to Splenic Vein Obstruction Associated with Autoimmune Pancreatitis
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- Iwasa Yuhei
- Department of Gastroenterology, Gifu Municipal Hospital, Japan
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- Iwata Keisuke
- Department of Gastroenterology, Gifu Municipal Hospital, Japan
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- Okuno Mitsuru
- Department of Gastroenterology, Gifu Municipal Hospital, Japan
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- Iwashita Takuji
- Department of Gastroenterology, Gifu University Graduate School of Medicine, Japan
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- Uemura Shinya
- Department of Gastroenterology, Gifu University Graduate School of Medicine, Japan
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- Tezuka Ryuichi
- Department of Gastroenterology, Gifu University Graduate School of Medicine, Japan
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- Senju Akihiko
- Department of Gastroenterology, Gifu University Graduate School of Medicine, Japan
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- Shimizu Masahito
- Department of Gastroenterology, Gifu University Graduate School of Medicine, Japan
Abstract
<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>
Journal
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- Internal Medicine
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Internal Medicine 63 (7), 943-948, 2024-04-01
The Japanese Society of Internal Medicine