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.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
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.
Loria LE, Tsuchiya R, Harada N, et al. Congenital mesenteric arterio-portal fistula: report of a case. Jpn J Surg. 1988;18:351–8.
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.
Butte JM, San Francisco IF, Pacheco F, et al. Arteriovenous malformation of the pancreas: report of a case. Surg Today. 2007;37:604–7.
Nishiyama R, Kawanishi Y, Mitsuhashi H, et al. Management of pancreatic arteriovenous malformation. J Hepatobiliary Pancreat Surg. 2000;7:438–42.
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.
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.
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.
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.
Funding
No funds were received by any source, all investigations were done at the center free of cost.
Author information
Authors and Affiliations
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.
Corresponding author
Ethics declarations
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.
Rights and permissions
About this article
Cite this article
Gupta, V., Kedia, S., Sonika, U. et al. A case of pancreatic AV malformation in an elderly man. Clin J Gastroenterol 11, 212–216 (2018). https://doi.org/10.1007/s12328-018-0825-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12328-018-0825-9