Gut and Liver  2010;4(1):135-139

A Case of Recurrent Acute Pancreatitis due to Pancreatic Arteriovenous Malformation.

Jong Kyoung CHOI 1 ; Sang Hyub LEE ; Min Sun KWAK ; Jai Hwan KIM ; Eun Sun JANG ; Sung Wook HWANG ; Jin Hyeok HWANG ; Li Jin JOO ; Yoo Seok YOON ; Hae Ryoung KIM

Affiliations

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Keywords

Pancreatitis; Pancreatic arteriovenous malformation

Country

Republic of Korea

Language

English

Abstract

Pancreatic arteriovenous malformation (AVM) is an extremely rare condition with various clinical manifestations. We report herein a case of recurrent acute pancreatitis due to pancreatic AVM in a 49-year-old man. This patient presented with epigastric pain that had developed after consuming alcohol 2 days prior to admission. Serum amylase and lipase levels were elevated and computed tomography revealed focal low-attenuation lesions with peripancreatic infiltrations in the pancreatic tail and multiple collateral vessels around the low-attenuation lesions. He was diagnosed with acute pancreatitis and pancreatic AVM. Although he had stopped drinking after the first attack of acute pancreatitis, his pancreatitis recurred twice within 3 months. He underwent a distal pancreatectomy after the third attack of acute pancreatitis. He was free of symptoms for 2 years after the pancreatectomy.