Korean J Pancreas Biliary Tract.  2018 Apr;23(2):60-64. 10.15279/kpba.2018.23.2.60.

Pancreatic Arteriovenous Malformation Combined with Pseudocysts

• Han JE
• Noh MH
• Nam WW
• Roh MS
• Park BH

• KMID: 2448629
• DOI: http://doi.org/10.15279/kpba.2018.23.2.60

Abstract

Pancreatic arteriovenous malformation (PAVM) is very rare anomaly. It occurs most commonly in the pancreatic head portion and gastrointestinal bleeding is the most common symptom. The management of PAVM is rather complex, with complete treatment usually accomplished by a total extirpation of the affected organ or at least its involved portion. We report the clinical presentation and management of 64 year-old male patient with PAVM, which was developed in pancreatic tail portion with sudden abdominal pain. Pancreatic computed tomography and magnetic resonance cholangiopancreatography were consistent with a vascular formation on pancreatic tail portion and simultaneously revealed with pseudocysts beside it. A subsequent superior mesenteric artery angiographic findings depicted PAVM on pancreatic tail portion. The patient underwent laparoscopic distal pancreatectomy and splenectomy and had a favorable outcome.

Keyword

Pancreas; Arteriovenous malformation; Pseudocyst

MeSH Terms

Abdominal Pain
Arteriovenous Malformations*
Cholangiopancreatography, Magnetic Resonance
Head
Hemorrhage
Humans
Male
Mesenteric Artery, Superior
Pancreas
Pancreatectomy
Splenectomy
Tail