A Patient of Pancreatic Acinar Cell Carcinoma with Dilated Esophagogastric Vessels

نویسندگان

  • Masakuni Fujii
  • Hiroaki Saito
  • Mamoru Ito
  • Takefumi Niguma
  • Masao Yoshioka
  • Izumi Togami
  • Soichiro Nose
  • Junji Shiode
چکیده

Left portal hypertension and splenic vein occlusion commonly occur with pancreatic tumors, however these signs are rarely observed in patients with acinar cell carcinoma. This report describes a rare left portal hypertension in a patient who presented with a dilated esophagogastric vein upon esophagogastroduodenoscopic examination of a gastric polyp. A contrast-enhanced computed tomography scan revealed a pancreatic tumor, with obstruction of the splenic vein and portal-systemic shunt. The patient was diagnosed with an acinar cell carcinoma of the pancreatic tail. This patient highlights that pancreatic acinar cell carcinoma should be considered as a differential diagnosis in patients with a dilated esophagogastric vein and without signs of liver disease. Received March 4th, 2015-Accepted May 1st, 2015

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تاریخ انتشار 2015