A case of pancreatic AV malformation in an elderly man
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.
KeywordsPancreatic vascular lesion AV malformation
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.
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.
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 was obtained from all patients for being included in the study.