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  • Title: Portal hypertension secondary to intrahepatic arterio-portal shunt in primary amyloidosis: a case report.
    Author: Aramaki T, Terada H, Okumura H, Tsutsui H, Fujita S, Tajiri T, Ohya T, Tajima H.
    Journal: Gastroenterol Jpn; 1989 Aug; 24(4):410-3. PubMed ID: 2777017.
    Abstract:
    Portal hypertension is a rare complication in hepatic amyloidosis. We experienced a case of a 40-year-old man with primary amyloidosis and advanced esophageal varices. Angiographic procedures clearly demonstrated portal hypertension secondary to intrahepatic arterio-portal shunting. Hepatic arterial embolization brought about a disappearance of the A-P shunt and portal hypertension, though rebleeding occurred. To our knowledge, this is the first case report in which the pathogenesis of portal hypertension in hepatic amyloidosis was elucidated.
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