Institute of Hepatopancreatobiliary Surgery, Southwest Hospital, Third Military Medical University, Chongqing, PR China. whuaizhi @ gmail.com
Pancreatology. 2011;11(2):228-32. doi: 10.1159/000328392. Epub 2011 May 12.
The main cause of gastroesophageal variceal bleeding (GEVB) is portal hypertension (PH) due to liver cirrhosis. Here, we report a case of regional PH and refractory GEVB secondary to neuroendocrine carcinoma (NC) in the pancreatic tail. This condition was treated using a pancreatic tail resection, splenectomy, and portal azygous devascularization. Regional PH caused by a pancreatic NC is rare and is usually presented as isolated gastric varices. This case report of regional PH details simultaneous esophageal and gastric varices that were caused by a pancreatic NC, which is a rare occurrence. Therefore, after excluding liver cirrhosis, unusual causes should be considered in cases of refractory GEVB with PH. and IAP.
胃食管静脉曲张出血（GEVB）的主要原因是由于肝硬化导致的门静脉高压（PH）。在这里，我们报告了一例胰尾神经内分泌癌（NC）引起的区域性 PH 和难治性 GEVB。该病例采用胰尾切除术、脾切除术和门奇静脉断流术进行治疗。由胰腺 NC 引起的区域性 PH 较为罕见，通常表现为孤立性胃静脉曲张。本病例报告详细介绍了由胰腺 NC 引起的同时存在食管和胃静脉曲张的罕见情况。因此，在排除肝硬化后，对于 PH 和 IAP 合并难治性 GEVB 的病例，应考虑不常见的原因。
