Korean J Gastrointest Endosc.  2007 Nov;35(5):359-363.

A Case of Pancreatic Arteriovenous Malformation Presenting Upper Gastrointestinal Bleeding

Affiliations
  • 1Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea. jinlee@hallym.or.kr

Abstract

A pancreatic arteriovenous malformation (AVM) is a very rare disease entity that is usually asymptomatic; however, it may present with a massive gastrointestinal hemorrhage. Recent advances in cross-sectional imaging and the widespread availability of angiography have contributed to the diagnosis of this condition. A patient was transferred to our clinic due to unknown origin gastrointestinal bleeding and upper abdominal pain. Double balloon enteroscopy and duodenoscopy revealed a bleeding pancreatico-cholangio-duodenal fistula. We were able to diagnose an arteriovnous malformation with a pancreatico-cholangio-duodenal fistula by the use of angiography and from the post-operative pathological findings.

Keyword

Pancreas; Arteriovenous malformation; Pancreatico-cholangio-duodenal fistula; Bleeding

MeSH Terms

Abdominal Pain
Angiography
Arteriovenous Malformations*
Diagnosis
Double-Balloon Enteroscopy
Duodenoscopy
Fistula
Gastrointestinal Hemorrhage
Hemorrhage*
Humans
Pancreas
Rare Diseases
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