A CASE OF LOCAHZED GASTRIC VARICES WITH SPLENO-RENAL SHUNT AND VASCULAR ECTASIA IN NON CIRRHOTIC PATIENT

Abstract

Localized gastric varices with spleno-renal shunt without portal hypertension is extremely rare. We report a patient with localized gastric varices suggessted to gastric arterio-venous malformation. A 81-year-old female admitted to the hospital for hernatemesis and melena. Her liver function test was within normal limit and had no splenomegaly. Upper gastrointestinal endoscopy indicated not only vascular ectasia on the lesser curvature of the gastric body but also middle-sized localized varices on the fornix. Abdominal arteria1graphy revealed spleno-renal shunt by venous phase of selective celiac arterialgraphy, arterio-venous malforrnation on the place of vascular ectasia by left gastric arterialgraphy (LGA), fundic plexus and left gastric vein by the venous phase of LGA.