title: Melena-associated regional portal hypertension caused by splenic arteriovenous fistula.
abstract: Regional portal hypertension is a rare cause of upper gastrointestinal bleeding. We reported an extremely rare case in which regional portal hypertension was associated with both the splenic arteriovenous fistula and chronic pancreatitis. In June 2010, our patient, a 41-year-old man, was admitted to a local hospital due to a sudden melena and dizziness without haematemesis and jaundice. The splenic arteriovenous fistula in this patient was successfully occluded through transcatheter arterial embolization. At the 12-mo follow-up, our patient was in good condition.
authors.affiliation: Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
authors.forename: Bin
authors.initials: B
authors.lastname: Chen
authors.forename: Cheng-Wei
authors.initials: CW
authors.lastname: Tang
authors.forename: Chun-Le
authors.initials: CL
authors.lastname: Zhang
authors.forename: Jia-Wei
authors.initials: JW
authors.lastname: Cao
authors.forename: Bo
authors.initials: B
authors.lastname: Wei
authors.forename: Xiao
authors.initials: X
authors.lastname: Li
mesh_terms: D000328:Adult; D001164:Arteriovenous Fistula / Q000150:complications*; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology*; D008297:Male; D008551:Melena / Q000209:etiology*; D050500:Pancreatitis, Chronic / Q000150:complications; D013157:Splenic Artery / Q000002:abnormalities*; D013162:Splenic Vein / Q000002:abnormalities*; D014057:Tomography, X-Ray Computed