Advertisement

Clinical Journal of Gastroenterology

, Volume 11, Issue 3, pp 212–216 | Cite as

A case of pancreatic AV malformation in an elderly man

  • Vipin Gupta
  • Saurabh Kedia
  • Ujjwal Sonika
  • Kumble Seetharama Madhusudhan
  • Sujoy Pal
  • Pramod Garg
Case Report

Abstract

A 60-year-old man presented with recurrent abdominal pain and weight loss for 6 months. Abdominal imaging showed a large vascular lesion in the head and neck of pancreas suggestive of arteriovenous malformation (AV malformation). Endoscopic ultrasound was done which showed features of AV malformation with no evidence of pancreatic malignancy. Surgery was planned for definitive treatment of malformation. Digital subtraction angiography with angioembolization was done prior to surgery to reduce vascularity of the lesion. He recovered after a pylorus preserving pancreaticoduodenectomy. Histopathology of the resected specimen confirmed the pancreatic AV malformation. There has been no recurrence at 2 years of follow-up.

Keywords

Pancreatic vascular lesion AV malformation 

Notes

Authors’ contributions

VG: managed the case and wrote the manuscript; US: helped in management of the case and assisted in surgery; SK: did critical review of the manuscript; KSM: did DSA (Digital subtraction angiography) of the patient before surgery and did critical review of the manuscript; SP: performed the surgery as chief surgeon; PG: managed the case and did critical review of the manuscript.

Funding

No funds were received by any source, all investigations were done at the center free of cost.

Compliance with ethical standards

Conflict of interest

All the authors declare no conflict of interest.

Human rights

All procedures followed have been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

Informed consent

Informed consent was obtained from all patients for being included in the study.

References

  1. 1.
    Halpern M, Turner AF, Citron BP. Hereditary hemorrhagic telangiectasia. An angiographic study of abdominal visceral angiodysplasias associated with gastrointestinal hemorrhage. Radiology. 1968;90:1143–9.CrossRefPubMedGoogle Scholar
  2. 2.
    Loria LE, Tsuchiya R, Harada N, et al. Congenital mesenteric arterio-portal fistula: report of a case. Jpn J Surg. 1988;18:351–8.CrossRefPubMedGoogle Scholar
  3. 3.
    Meyer CT, Troncale FJ, Galloway S, et al. Arteriovenous malformations of the bowel: an analysis of 22 cases and a review of the literature. Medicine (Baltimore). 1981;60:36–48.CrossRefPubMedGoogle Scholar
  4. 4.
    Butte JM, San Francisco IF, Pacheco F, et al. Arteriovenous malformation of the pancreas: report of a case. Surg Today. 2007;37:604–7.CrossRefPubMedGoogle Scholar
  5. 5.
    Nishiyama R, Kawanishi Y, Mitsuhashi H, et al. Management of pancreatic arteriovenous malformation. J Hepatobiliary Pancreat Surg. 2000;7:438–42.CrossRefPubMedGoogle Scholar
  6. 6.
    Aida K, Nakamura H, Kihara Y, et al. Duodenal ulcer and pancreatitis associated with pancreatic arteriovenous malformation. Eur J Gastroenterol Hepatol. 2002;14:551–4.CrossRefPubMedGoogle Scholar
  7. 7.
    Chang S, Lim HK, Lee WJ, et al. Arteriovenous malformation of the pancreas in a patient with gastrointestinal bleeding: helical CT findings. Abdom Imaging. 2004;29:259–62.CrossRefPubMedGoogle Scholar
  8. 8.
    Uda O, Aoki T, Tsuchida A, et al. Pancreatic arteriovenous malformation observed to bleed from the bile duct and a duodenal ulcer: report of a case. Surg Today. 1999;29:462–6.CrossRefPubMedGoogle Scholar
  9. 9.
    Kanno A, Satoh K, Kimura K, et al. Acute pancreatitis due to pancreatic arteriovenous malformation: 2 case reports and review of the literature. Pancreas. 2006;32:422–5.CrossRefPubMedGoogle Scholar

Copyright information

© Japanese Society of Gastroenterology 2018

Authors and Affiliations

  • Vipin Gupta
    • 1
  • Saurabh Kedia
    • 1
  • Ujjwal Sonika
    • 1
  • Kumble Seetharama Madhusudhan
    • 3
  • Sujoy Pal
    • 2
  • Pramod Garg
    • 1
  1. 1.Department of GastroenterologyAll India Institute of Medical SciencesNew DelhiIndia
  2. 2.Department of Gastrointestinal SurgeryAll India Institute of Medical SciencesNew DelhiIndia
  3. 3.Department of RadiodiagnosisAll India Institute of Medical SciencesNew DelhiIndia

Personalised recommendations