A case of pancreatic AV malformation in an elderly man

Gupta, Viney; Kedia, Saurabh; Sonika, Ujjwal; Madhusudhan, Kumble Seetharama; Pal, Sujoy; Garg, Pramod Kumar

doi:10.1007/s12328-018-0825-9

Cited by 5 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Other causes include trauma, pancreatitis and tumors [ 2 , 4 ]. Most AVM cases are asymptomatic; however, with pancreatic AVM, patients may present with upper abdominal pain, gastrointestinal bleeding, portal hypertension and pancreatitis [ 1 , 4 , 5 , 7 , 11 , 14 ]. Portal hypertension develops when the AVM of the pancreas grows progressively in size [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Surgical resection of arteriovenous malformation of the pancreatic head with acute pancreatitis: a case report

Hakoda

Kawaguchi

Miyata

et al. 2022

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Arteriovenous malformations (AVMs) are uncommon in the gastrointestinal tract, particularly in the pancreas. AVMs cause complications, including gastrointestinal bleeding, portal hypertension and pancreatitis. Therefore, a treatment strategy is not yet established. Surgical treatment or transcatheter arterial embolization is performed in patients with AVM, considering their conditions. A 54-year-old man presented with acute abdominal pain was diagnosed with acute pancreatitis due to AVM of the pancreatic head using dynamic computed tomography. Endoscopic ultrasonography further revealed meandering blood vessels in the pancreatic head. The patient underwent subtotal stomach-preserving pancreaticoduodenectomy. Histological examination revealed AVM of the pancreatic head with chronic pancreatitis. The patient had a good postoperative clinical course and was discharged on postoperative day 22. He remained asymptomatic. Pancreaticoduodenectomy can be considered an effective treatment method for selected cases of symptomatic AVM of the pancreatic head.

show abstract

Section: Discussionmentioning

confidence: 99%

Surgical resection of arteriovenous malformation of the pancreatic head with acute pancreatitis: a case report

Hakoda

Kawaguchi

Miyata

et al. 2022

Journal of Surgical Case Reports

View full text Add to dashboard Cite

show abstract

“…The key words based on searches included “pancreas” and “arteriovenous malformation.” In total, 26 articles contained TAE as a therapy for P-AVM. [ 1 – 3 , 11 – 32 ] The clinical characteristics and further treatment of 26 cases are summarized in Tables 1 and 2 . The average age at diagnosis was 51.5 years (range 26 years to 67 years) and 24 of the 26 patients were male, 2 were female.…”

Section: Discussionmentioning

confidence: 99%

“…We analyzed relevant published cases treated by TAE in PubMed database from 1968 to 2020. The key words based on searches included “pancreas” and “arteriovenous malformation.” In total, 26 articles contained TAE as a therapy for P-AVM [1–3,11–32] . The clinical characteristics and further treatment of 26 cases are summarized in Tables 1 and 2.…”

Section: Discussionmentioning

confidence: 99%

Management of pancreatic arteriovenous malformation

Wu¹,

An²,

Piao³

et al. 2021

Medicine

View full text Add to dashboard Cite

Introduction: Pancreatic arteriovenous malformation (P-AVM) is a rare vascular malformation. Fewer than 200 cases have been reported. The clinical manifestations lack specificity. Common symptoms include abdominal pain, gastrointestinal hemorrhage, and jaundice, which is easily confused with other disorders. Patient concerns: A 42-year-old man received TAE due to abdominal pain caused by P-AVM in a local hospital, melena and abdominal pain occurred in a short time after TAE. Diagnosis: The patient was diagnosed as P-AVM which was confirmed by computed tomography and digital subtraction angiography. Interventions: A pylorus-preserving pancreatoduodenectomy was successfully performed after diagnosis was made. Outcomes: The patient recovered with no complications two weeks after surgery, and no sign of recurrence was found during the 4-mo follow-up period. Conclusion: In our experience, TAE may have limitations in the treatment of P-AVM and surgical resection should be considered as the treatment of choice.

show abstract

“…We identified relevant articles pertaining to Ph-AVM in the English literature available on the PubMed electronic database. In total, 73 cases of Ph-AVM, including our case, have been reported on PubMed from 1968 to 2019, based on searches using "pancreas", "head", and "arteriovenous malformation" as keywords [4,5,[12][13][14][15][16][17][18][19][20][21][22] (Table 1). Sixty-four cases involved men (87.7%) and nine involved women (12.3%).…”

Section: Discussionmentioning

confidence: 99%

Arteriovenous malformation in the pancreatic head initially mimicking a hypervascular mass treated with duodenum-preserving pancreatic head resection: a case report

et al. 2020

View full text Add to dashboard Cite

Background The mainstay treatment for arteriovenous malformation in the pancreatic head (Ph-AVM) is standard pancreatectomy, especially pancreaticoduodenectomy (PD), or interventional endovascular treatment. We report the first case of Ph-AVM treated with duodenum-preserving pancreatic head resection (DPPHR) performed to preserve the periampullary organs. Case presentation A 59-year-old man presenting with back pain underwent contrast-enhanced computed tomography followed by angiography of the anterior superior pancreaticoduodenal artery. He was diagnosed with Ph-AVM and indicated for DPPHR with preservation of the periampullary organs; Ph-AVM’s benign nature seldom requires lymph node dissection. During the operation, the right colon was mobilized and the omental bursa was released to expose the periampullary structures. The pancreas was transected just above the superior mesenteric vein. The inferior pancreaticoduodenal artery and papillary arteries branching from the posterior superior pancreaticoduodenal artery were carefully preserved to maintain the blood flow to the lower bile duct and papilla of Vater. The remnant pancreas was reconstructed with pancreaticogastrostomy using the modified Blumgart method. Pathological examination of the resected specimen revealed an irregular course of the arteries and veins concomitant with marked dilation throughout the pancreatic head. The patient was pathologically diagnosed with Ph-AVM. He developed hematemesis caused by a rupture of the pseudoaneurysm on postoperative day 20 and underwent coil embolization. A bilio-enteric fistula and stenosis of the common bile duct were found and treated by placement of an endoscopic biliary stent. At the 8-month follow-up, the Ph-AVM had not recurred. Conclusions Compared to PD, DPPHR confers the clinical benefit of preserving the periampullary organs, although further studies are needed to confirm this. Therefore, the choice of this procedure should be based on the surgical morbidities and long-term outcome of the patient.

show abstract

A case of pancreatic AV malformation in an elderly man

Cited by 5 publications

References 9 publications

Surgical resection of arteriovenous malformation of the pancreatic head with acute pancreatitis: a case report

Surgical resection of arteriovenous malformation of the pancreatic head with acute pancreatitis: a case report

Management of pancreatic arteriovenous malformation

Arteriovenous malformation in the pancreatic head initially mimicking a hypervascular mass treated with duodenum-preserving pancreatic head resection: a case report

Contact Info

Product

Resources

About