Korean J Gastrointest Endosc.
2007 Nov;35(5):359-363.
A Case of Pancreatic Arteriovenous Malformation Presenting Upper Gastrointestinal Bleeding
- Affiliations
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- 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.
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