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Pancreatic arteriovenous malformation with pancreatitis involving a pancreatico-venous fistula

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Summary

An arteriovenous malformation of the pancreas is a very rare disease, but its presentation is distinct and unique. In this report, we describe a patient who presented with this malformation which was localized in the tail of pancreas and demonstrated by abnormal angiography findings. The patient was a 60-year-old male with severe left hypochondralgia. Angiography revealed an increased blood volume in the tail of the pancreas with arteriovenous shunting. Secondary pancreatitis caused by the arteriovenous malformation was suspected by abnormal laboratory data, and confirmed by histology from the resected tail of the pancreas. This is a very rare report in which pancreatic arteriovenous malformation involving a pancreaticovenous fistula was confirmed by endoscopic retrograde cholangiopancreatography (ERCP).

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References

  1. Ben-Zvi JS, Siegel JH, Yatto R: Opacification of portal system during ERCP: demonstration of an anomalous pancreatico-portal connection in a patient with pancreatic carcinoma. Gastrointest Endosc 1989;35:445–447.

    PubMed  CAS  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  3. Grannis FW, Foulk WT, Miller WE, et al: Diagnosis and management of an arteriovenous fistula of pancreas and duodenum. Mayo Clin Proc 1973;48:780–782.

    PubMed  CAS  Google Scholar 

  4. Lande A, Bedford A, Schechter LS: The spectrum of arteriographie findings in Osler-Weber-Rendu disease. Angiography 1976;27:223–240.

    CAS  Google Scholar 

  5. Moore JD, Thompson NW, Appelman HD, et al: Arteriovenous malformations of the gastrointestinal tract. Arch Surg 1976;111: 381–389.

    PubMed  CAS  Google Scholar 

  6. Chuang VP, Pulmano CM, Walter JF, et al: Angiography of pancreatic arteriovenous malformation. Am J Roentgenol 1977; 129: 1015–1018.

    CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

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

    CAS  Google Scholar 

  9. I. Shikawa T: Congenital arteriovenous malformation involving the pelvis and retroperitoneum. Angiography 1980;30:70–74.

    Google Scholar 

  10. Lawhon NC: Pancreatic arteriovenous malformation. J Miss State Med Assoc 1980;21:184–185.

    PubMed  CAS  Google Scholar 

  11. Mizutani N, Masuda Y, Naito N, et al: Pancreatic arteriovenous malformation in a patient with gastrointestinal hemorrhage. Am J Gastroenterol 1981;76:141–144.

    PubMed  CAS  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  13. Sawabu N. Ishida Y, Toya D, et al: Pancreatic arteriovenous malformation presenting as interesting findings on endoscopic retrograde pancreatography. Dig Dis Sci 1984;29:678–682.

    Article  PubMed  CAS  Google Scholar 

  14. Hashimoto M. Yamada N, Fukuchi S, et al: A case of arteriovenous malformation of the pancreas associated with a para papilla deodenal ulcer and choledocho-duodenal fistula. Jpn J Gastroenterol 1983;80:1496–1500.

    CAS  Google Scholar 

  15. Ogawa K, Ariyama S, Shimaguchi H, et al: Pancreatic arteriovenous malformation in a patient with gastrointestinal hemorrhage. Diagnostic Imaging of The Abdomen, 1983;3:471–475.

    Google Scholar 

  16. Watanabe H, Suda Y, Fujiki T, et al: Pancreatic arteriovenous malfomation. Jpn J Gastroenterol 1985;82:2144–2148.

    CAS  Google Scholar 

  17. Nomura M, Matsukawa S, Yasuda T, et al: A case of pancreatic arteriovenous malformation. Clin Gastroenterol 1987;2:1355–1359.

    Google Scholar 

  18. Kojima T, Shirota T, Kakei N, et al: An autopsy case of arteriovenous malformation of the pancreatic head revealed portal hypertension. Jpn J Gastroenterol 1987;84:1855–1858.

    CAS  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  20. Katoh H, Kojima T, Okushiba S, et al: Bleeding esophageal varices associated with pancreatic arteriovenous malformation. World J Surg 1991;15:57–61.

    Article  PubMed  CAS  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  22. Kitagawa K, Takashima T, Matsui O, et al: Marked hypervascularity and early arteriovenous shunting with portal vein filling in chronic relapsing pancreatitis. Gastrointest Radiol 1986;ll:56–60.

    Article  Google Scholar 

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Ohtani, N., Kimoto, K., Yoshida, S. et al. Pancreatic arteriovenous malformation with pancreatitis involving a pancreatico-venous fistula. Gastroenterol Jpn 27, 115–120 (1992). https://doi.org/10.1007/BF02775073

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  • DOI: https://doi.org/10.1007/BF02775073

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