Advertisement

Digestive Diseases and Sciences

, Volume 41, Issue 6, pp 1232–1237 | Cite as

Pancreatic arteriovenous malformation with duodenal ulcer

Demonstration by color doppler ultrasonography
  • Shigeo Tano
  • Norio Ueno
  • Tomio Ueno
  • Shin-Ichi Wada
  • Toshiyuki Aizawa
  • Ken Kimura
Case Report

Summary

We report the color Doppler ultrasonography features of arteriovenous malformation (AVM) of the pancreas, a very rare disease. The patient was a 52-year-old man with congenital AVM of the pancreas and a duodenal ulcer that had been resistant to medication. Endoscopic color Doppler ultrasonography (color Doppler EUS) revealed many abnormal color signals showing pulsatile wave form at the portion of the duodenal wall involving the duodenal ulcer. Extracorporeal color Doppler ultrasonography revealed a mosaic-like color signal, caused by turbulent flow, in the portal trunk. Angiography demonstrated a vascular network with extensive proliferation at the pancreatic head and early portal filling. It is possible that the pancreatic AVM had caused the duodenal ulcer. Color Doppler EUS can be a useful modality for detection of vessel abnormalities of the gastrointestinal tract.

Key words

arteriovenous malformation pancreas duodenal ulcer color Doppler ultrasonography 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Merrit C: Doppler color flow imaging. J Clin Ultrasound 15:591–597, 1987Google Scholar
  2. 2.
    Gomes AS, Mali WP, Oppenheim WL: Embolization therapy in the management of congenital arteriovenous malformation. Diagn Radiol 144:41–49, 1982Google Scholar
  3. 3.
    Hashimoto M, Yamada N, Fukuchi S, Ono Y, Tsurumaru M, Akiyama H, Senmoto M, Matsutani S, Hara M: A case of arteriovenous malformation of the pancreas associated with a para papilla duodenal ulcer and choledocho-duodenal fistula. Jpn J Gastroenterol 80:1496–1500, 1983 (in Japanese)Google Scholar
  4. 4.
    Kato H, Tanabe T: Congenital arteriovenous malformation of the pancreas with jaundice and a duodenal ulcer: Report of a case. Surg Today 23:1108–1112, 1993Google Scholar
  5. 5.
    Ogawa K, Ariyama J, Shimaguchi H, Suyama M, Ito M, Shirakabe H, Nagahama T, Matsumoto M: Pancreatic arteriovenous malformation in a patient with gastrointestinal hemorrhage, report of a case. Diagn Imag Abdomen 3:471–475, 1983 (in Japanese)Google Scholar
  6. 6.
    Nomura M, Matsukawa S, Yasuda T, Matsuzawa K, Teraoka S, Masuyama S, Takehara Y, Irie H: A case of pancreatic arteriovenous malformation. Clin Gastroenterol 2:1355–1359, 1987 (in Japanese)Google Scholar
  7. 7.
    Kojima T, Horota T, Kakei N, Chiba N, Tsushima K, Kurosawa S, Wang Y, Kawahara H, Sakita T, Araki S, Maeda M, Tateno I, Masaki Y, Sakurai K, Hamamoto T, Nagayama T: An autopsy case of arteriovenous malformation of the pancreatic head revealed portal hypertension. Jpn J Gastroenterol 84:1855–1858, 1987 (in Japanese)Google Scholar
  8. 8.
    Katoh H, Kojima T, Okushiba S, Shimozawa E, Tanabe T: Bleeding esophageal varices associated with pancreatic arteriovenous malformation. World J Surg 15:57–61, 1991Google Scholar
  9. 9.
    Kato T, Takahashi M, Okawada T, Miyazaki Y, Kaneko M: Pancreatic arteriovenous malformation treated by transcatheter embolization: Report of a case with hepatocellular carcinoma. Radiat Med 9:19–21, 1991Google Scholar
  10. 10.
    Funo K, Umezawa T, Aizawa T, Yoshida E, Kunimura T, Hamamoto T, Nagayama T, Morohoshi T, Kanda M: Arteriovenous malformation of the pancreas. A report of three cases with pathomorphological study. J Showa Med Assoc 51:236–241, 1991 (in Japanese)Google Scholar
  11. 11.
    Ohtani N, Kimoto K, Yoshida S, Tanaka T, Inokuchi H, Kawai K: Pancreatic arteriovenous malformation with pancreatitis involving a pancreatico-venous fistula. Gastroenterol Jpn 27:115–120, 1992Google Scholar
  12. 12.
    Miura Y, Kato Y, Seiko R, Nomura M, Yamane K, Fujikawa K, Iwamoto T, Dohi K: Arteriovenous malformation of the pancreas associated with hepatocellilar carcinoma. A case report and review of the literature. Dig Dis Sci 37:1619–1623, 1992Google Scholar
  13. 13.
    Ishikawa M, Tanaka M, Ogawa Y, Cijiiwa K: Arteriovenous malformation at pancreatobiliary region causing hemobilia after cholocystectomy. Gastroenterology 105:1553–1556, 1993Google Scholar
  14. 14.
    Kurosaki M, Hattori K, Minato Y, Shiigai T, Ohashi I, Umehara I, Marumo F, Sato C: Asymptomatic arteriovenous malformation of the pancreas. Demonstration by Doppler ultrasonography and magnetic resonance imaging. Dig Dis Sci 38:1342–1346, 1993Google Scholar

Copyright information

© Plenum Publishing Corporation 1996

Authors and Affiliations

  • Shigeo Tano
    • 1
  • Norio Ueno
    • 1
  • Tomio Ueno
    • 1
  • Shin-Ichi Wada
    • 1
  • Toshiyuki Aizawa
    • 1
  • Ken Kimura
    • 1
  1. 1.Department of GastroenterologyJichi Medical SchoolTochigiJapan

Personalised recommendations