Skip to main content

Asymptomatic arteriovenous malformation of the pancreas

Demonstration by Doppler ultrasonography and magnetic resonance imaging

Digestive Diseases and Sciences volume 38, pages 1342–1346 (1993)Cite this article

Summary

We reported a case of asymptomatic pancreatic AVM, incidentally found on routine ultrasonography and diagnosed noninvasively by means of Doppler ultrasonography and MRI. The diagnosis was confirmed by angiography. This is the first report to demonstrate the characteristics of pancreatic AVM by these two imaging techniques. They proved to be useful in identifying the vascular nature of AVM without the use of a contrast material, which is a definite advantage over DSA and CT. The quality of the image obtained was equivalent or superior to that obtained by DSA and contrast-enhanced CT. Doppler ultrasonography and MRI may serve as the primary imaging techniques of choice in suspected cases of AVM.

This is a preview of subscription content, access via your institution.

Access options

Buy single article

Instant access to the full article PDF.

USD 39.95

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

References

  1. Halpern M, Turner AF, Citron BP: Hereditary hemorrhagic telangiectasia. Radiology 90:1143–1149, 1968

    Google Scholar 

  2. Grannis FW, Foulk WT, Miller WE, Payne WS: Diagnosis and management of an arteriovenous fistula of pancreas and duodenum. Mayo Clin Proc 48:780–782, 1973

    Google Scholar 

  3. Lande A, Bedford A, Schechter LS: The spectrum of angiographic findings in Osler-Weber-Rendu disease. Angiology 27:223–240, 1976

    Google Scholar 

  4. Moore JD, Thompson NW, Appleman HD, Foley D: Arteriovenous malformations of the gastrointestinal tract. Arch Surg 111:381–389, 1976

    Google Scholar 

  5. Chuang VP, Pulmano CM, Walter JF, Cho KJ: Angiography of pancreatic arteriovenous malformation. Am J Roentgenol 129:1015–1018, 1977

    Google Scholar 

  6. Brinley JL, Palubinskas AJ: Congenital arteriovenous malformation of the pancreas. Br J Radiol 50:219–222, 1977

    Google Scholar 

  7. Nyman U: Angiography in hereditary hemorrhagic telangiectasia. Acta Radiol Diag 18:581–592, 1977

    Google Scholar 

  8. Ishikawa T: Congenital arteriovenous malformations involving the pancreas, pelvis, and retroperitoneum—a case report. Angiology 30:70–74, 1979

    Google Scholar 

  9. Lawhon NC: Radiologic seminar CCVI: Pancreatic arteriovenous malformation. J Miss State Med Assoc 21:184–185, 1980

    Google Scholar 

  10. Hines JR, Stryker SJ, Neiman HL, Larsen LR, Gottlieb J, Craig RM: Intraoperative angiography in intestinal angiodysplasia. Surg Gynecol Obstet 152:453–460, 1981

    Google Scholar 

  11. Mizutani N, Masuda Y, Naito N, Toda T, Yao E, Fukumoto M: Pancreatic arteriovenous malformation in a patient with gastrointestinal hemorrhage. Am J Gastroenterol 76:141–144, 1981

    Google Scholar 

  12. Gomes AS, Mali WP, Oppenheim WL: Embolization therapy in the management of congenital arteriovenous malformation. Radiology 144:41–49, 1982

    Google Scholar 

  13. Gomes AS, Busuttil RW, Baker JD, Oppenheim W, Machleder HI, Moore WS: Congenital arteriovenous malformations—the role of transcatheter arterial embolization. Arch Surg 118:817–825, 1983

    Google Scholar 

  14. Sawabu N, Ishida Y, Toya D, Yoneshima M, Hattori N, Kadoya M: Pancreatic anteriovenous malformation presenting as interesting findings on endoscopic retrograde pancreatography. Dig Dis Sci 29:678–682, 1984

    Google Scholar 

  15. Katoh H, Kojima T, Okushiba S, Shimozawa E, Tanabe T: Bleeding esophageal varices associated with pancreatic arteriovenous malformation. World J Surg 15:57–61, 1991

    Google Scholar 

  16. Cantarero JM, Liorente JG, Hidalgo EG, Hualde A, Ferreiro R: Splenic arteriovenous fistula: Diagnosis by duplex Doppler sonography. Am J Roentgenol 153:1313–1314, 1989

    Google Scholar 

  17. Harris K, Abu-Yousef MM: Duplex Doppler detection of intrarenal arteriovenous fistula and pseudoaneurysm. Am J Roentgenol 154:424, 1990

    Google Scholar 

  18. Selli C, Bartolozzi C, Lizzard G, Petacchi D: Arteriovenous fistula associated with renal cell carcinoma: Demonstration by magnetic resonance imaging. Urol Radiol 8:190–193, 1986

    Google Scholar 

  19. Amparo EG, Higgins CB, Hricak H: Primary diagnosis of abdominal arteriovenous fistula by MR Imaging. J Comput Assist Tomogr 8:1140–1142, 1984

    Google Scholar 

  20. Croks LE, Mills CM, Davis PL, Brant-Zawadski M, Hoenninger J, Arakawa M, Watts J, Kaufman L: Visualization of cerebral and vascular abnormalities by NMR imaging. The effect of imaging parameters on contrast. Radiology 144:843–852, 1982

    Google Scholar 

  21. Ponsky JL, Hoffman M, Rhodes RS: Arteriovenous fistula and portal hypertension secondary to islet-cell tumor of the pancreas. Surgery 85:408–411, 1979

    Google Scholar 

  22. Roe M, Greenough WG: Marked hypervascularity and arteriovenous shunting in acute pancreatitis. Radiology 113:47–48, 1974

    Google Scholar 

  23. Trapp RG, Breuer RI, Crampton AR, Davis IH, Derman RE, Larson RH, Victor TA: Pancreatic duct arteriovenous fistula and metastatic fat necrosis syndrome. Dig Dis Sci 24:403–408, 1979

    Google Scholar 

  24. Kitagawa K, Takashima T, Matsui O, Kadoya M, Makino T, Shinozaki K, Nishio T: Marked hypervascularity and early arteriovenous shunting with portal vein filling in chronic relapsing pancreatitis. Gastrointest Radiol 11:56–60, 1986

    Google Scholar 

  25. 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, 1991

    Google Scholar 

  26. Uchino A, Ishino Y, Ohno M: Arteriovenous malformation of the pancreas associated with mesenteric varices: Case report and review of the literature. Radiat Med 7:6–9, 1989

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Internal Medicine, Toride Kyodo General Hospital, 302, Toride-shi, Ibaraki, Japan

    Masayuki Kurosaki MD, Koji Hattori MD, Yukihito Minato MD, Tatsuo Shiigai MD, Isamu Ohashi MD, Isao Umehara MD, Fumiaki Marumo MD & Chifumi Sato MD

  2. Department of Radiology, Division of Health Science, Faculty of Medicine, Tokyo Medical and Dental University, Bunkyo-ku, 113, Tokyo, Japan

    Masayuki Kurosaki MD, Koji Hattori MD, Yukihito Minato MD, Tatsuo Shiigai MD, Isamu Ohashi MD, Isao Umehara MD, Fumiaki Marumo MD & Chifumi Sato MD

  3. Second Department of Internal Medicine, Faculty of Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, 113, Tokyo, Japan

    Masayuki Kurosaki MD, Koji Hattori MD, Yukihito Minato MD, Tatsuo Shiigai MD, Isamu Ohashi MD, Isao Umehara MD, Fumiaki Marumo MD & Chifumi Sato MD

Authors
  1. Masayuki Kurosaki MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Koji Hattori MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yukihito Minato MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Tatsuo Shiigai MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Isamu Ohashi MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Isao Umehara MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Fumiaki Marumo MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Chifumi Sato MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Kurosaki, M., Hattori, K., Minato, Y. et al. Asymptomatic arteriovenous malformation of the pancreas. Digest Dis Sci 38, 1342–1346 (1993). https://doi.org/10.1007/BF01296088

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01296088

Key Words

  • pancreatic arteriovenous malformation
  • magnetic resonance imaging
  • Doppler ultrasonography