Korean J Med.
2013 May;84(5):708-712.
A Case Report of Pancreatic Arteriovenous Malformation Diagnosed by Endoscopic Ultrasonography
- Affiliations
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- 1Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea. doc0224@pusan.ac.kr
- 2Department of Surgery, Pusan National University School of Medicine, Busan, Korea.
- 3Department of Radiology, Pusan National University School of Medicine, Busan, Korea.
- 4Department of Pathology, Pusan National University School of Medicine, Busan, Korea.
Abstract
- Pancreatic arteriovenous malformations (AVMs) are rare, and most cases occur as congenital anomalies. Many patients with AVM are asymptomatic, but occasionally present with abdominal pain or gastrointestinal bleeding. The increased portal vein flow that forms these malformations can lead to portal hypertension and gastrointestinal bleeding in the absence of primary liver pathology. Early diagnosis can lead to successful surgical resection or percutaneous transarterial embolization. We report a case of a patient with pancreatic AVM in the tail of the pancreas, in which endoscopic ultrasonography was helpful. This patient presented with abdominal pain and was subsequently treated with distal pancreatectomy.
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