A Case of Pancreatic Arteriovenous Malformation Presenting Upper Gastrointestinal Bleeding.
- Author:
Su Hee PARK
1
;
Mi Jeong KIM
;
You Sang KO
;
You Jin LIM
;
Seung Yong HAN
;
Hyun Woo BYUN
;
Min Ho CHOI
;
Hyun Joo JANG
;
Sea Hyub KYE
;
Jin LEE
Author Information
1. Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea. jinlee@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Pancreas;
Arteriovenous malformation;
Pancreatico-cholangio-duodenal fistula;
Bleeding
- MeSH:
Abdominal Pain;
Angiography;
Arteriovenous Malformations*;
Diagnosis;
Double-Balloon Enteroscopy;
Duodenoscopy;
Fistula;
Gastrointestinal Hemorrhage;
Hemorrhage*;
Humans;
Pancreas;
Rare Diseases
- From:Korean Journal of Gastrointestinal Endoscopy
2007;35(5):359-363
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A pancreatic arteriovenous malformation (AVM) is a very rare disease entity that is usually asymptomatic; however, it may present with a massive gastrointestinal hemorrhage. Recent advances in cross-sectional imaging and the widespread availability of angiography have contributed to the diagnosis of this condition. A patient was transferred to our clinic due to unknown origin gastrointestinal bleeding and upper abdominal pain. Double balloon enteroscopy and duodenoscopy revealed a bleeding pancreatico-cholangio-duodenal fistula. We were able to diagnose an arteriovnous malformation with a pancreatico-cholangio-duodenal fistula by the use of angiography and from the post-operative pathological findings.