A Case of Duodenal Ulcer Bleeding caused by Pancreatic Arteriovenous Malformation.
- Author:
Se Il OH
1
;
Sang Soo LEE
;
Il No DO
;
Nae Yun HEO
;
Song Yi HAN
;
Jung Min AHN
;
Young Jun CHOI
;
Dong Wan SEO
;
Sung Koo LEE
;
Myung Hwan KIM
Author Information
1. Department of Internal Medicine, Asan Medical Center University of Ulsan College of Medicine, Seoul, Korea. ssleedr@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Pancreatic arteriovenous malformation;
Duodenal ulcer;
Gastrointestinal bleeding
- MeSH:
Arteriovenous Malformations*;
Duodenal Ulcer*;
Esophageal and Gastric Varices;
Head;
Hemorrhage*;
Humans;
Hypertension, Portal;
Middle Aged;
Pancreas;
Pancreatic Ducts;
Pancreaticoduodenectomy;
Pylorus;
Rare Diseases
- From:Korean Journal of Gastrointestinal Endoscopy
2005;31(5):353-357
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Arteriovenous malformation (AVM) of the pancreas is an extremely rare disease. It may be asymptomatic, but more than half of the patients present with gastrointestinal bleeding. The most common cause of the gastrointestinal bleeding is variceal bleeding due to the portal hypertension resulting from AVM. Bleeding from a duodenal ulcer and AVM to the pancreatic duct are rare findings. Surgical excision is the treatment of choice, but when portal hypertension has developed, this cannot be corrected even after surgical resection. We experienced a case of recurrent duodenal ulcer bleeding that was due to arteriovenous malformation in the head of the pancreas in a 45 year old man. He was successfully treated with pylorus preserving pancreaticoduodenectomy.
