Takahashi Ken, Kashida Hiroshi, Kudo Masatoshi
Department of Gastroenterology and Hepatology, Kobe City General Hospital, Japan.
Intern Med. 2012;51(19):2753-5. doi: 10.2169/internalmedicine.51.8395. Epub 2012 Oct 1.
Splanchnic arteriovenous malformation (AVM) is a rare condition in which patients present with portal hypertension, which thus causes bleeding varices and ascites. However, to our knowledge, hepatic nodules associated with splanchnic AVM have not yet been described. We herein first report the case of a 78-year-old man with inferior mesenteric AVM presenting with portal hypertension and multiple hepatic nodules dominantly supplied by the portal vein. This unique case not only extends the spectrum of hepatic nodules resulting from abnormal hepatic circulation, but also provides clues for better understanding the etiology of hepatic nodules.
内脏动静脉畸形(AVM)是一种罕见的病症,患者会出现门静脉高压,进而导致静脉曲张出血和腹水。然而,据我们所知,与内脏AVM相关的肝结节尚未见报道。我们在此首次报告一例78岁男性患者,其肠系膜下AVM伴门静脉高压,且多个肝结节主要由门静脉供血。这一独特病例不仅扩展了由肝脏血液循环异常导致的肝结节谱,也为更好地理解肝结节的病因提供了线索。