Korean J Pancreas Biliary Tract.  2018 Apr;23(2):60-64. 10.15279/kpba.2018.23.2.60.

Pancreatic Arteriovenous Malformation Combined with Pseudocysts

Affiliations
  • 1Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea. mhnho@dau.ac.kr
  • 2Department of Pathology, Dong-A University College of Medicine, Busan, Korea.
  • 3Department of Radiology, Dong-A University College of Medicine, Busan, Korea.

Abstract

Pancreatic arteriovenous malformation (PAVM) is very rare anomaly. It occurs most commonly in the pancreatic head portion and gastrointestinal bleeding is the most common symptom. The management of PAVM is rather complex, with complete treatment usually accomplished by a total extirpation of the affected organ or at least its involved portion. We report the clinical presentation and management of 64 year-old male patient with PAVM, which was developed in pancreatic tail portion with sudden abdominal pain. Pancreatic computed tomography and magnetic resonance cholangiopancreatography were consistent with a vascular formation on pancreatic tail portion and simultaneously revealed with pseudocysts beside it. A subsequent superior mesenteric artery angiographic findings depicted PAVM on pancreatic tail portion. The patient underwent laparoscopic distal pancreatectomy and splenectomy and had a favorable outcome.

Keyword

Pancreas; Arteriovenous malformation; Pseudocyst
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