Korean J Gastroenterol.  2003 Jun;41(6):514-518.

A Case of Portal Hypertension Caused by Pancreatic Arteriovenous Malformation: Successful Treatment with Transjugular Intrahepatic Portosystemic Shunt

Affiliations
  • 1Department of Internal Medicine, Kyungpook National University College of Medicine, Daegu, Korea. Colonoscopy2002kr@yahoo.co.kr

Abstract

Pancreatic arteriovenous malformation is very rare. However, it silently progresses and frequently brings about serious condition such as portal hypertension. The removal of pancreatic arteriovenous malformation is difficult once portal hypertension has developed. Surgery is the definitive treatment of choice, but it carries high risks when the patient's condition is poor. The transjugular intrahepatic portosystemic shunt (TIPS) is a well-accepted procedure for the treatment of intractable portal hypertension. We experienced a case in which TIPS was used for the treatment of intractable portal hypertension caused by pancreatic arteriovenous malformation. The patient suffered from ascites and intractable gastrointestinal bleeding. The portal hypertension caused by pancreatic arteriovenous malformation was diagnosed by color Doppler ultrasonography, computed tomography (CT), and angiography. TIPS might be another treatment of choice for this rare disease, when the patient's condition is too risky for surgical treatment.

Keyword

Arteriovenous malformations; Pancreas; Hypertension; portal; Portosystemic shunt; transjugular intrahepatic
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