Korean Journal of Gastrointestinal Endoscopy  2007;35(5):359-363

A Case of Pancreatic Arteriovenous Malformation Presenting Upper Gastrointestinal Bleeding.

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

Affiliations

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Keywords

Pancreas; Arteriovenous malformation; Pancreatico-cholangio-duodenal fistula; Bleeding

Country

Republic 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.