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KMID : 0359020070350050359
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Korean Journal of Gastrointestinal Endoscopy
2007 Volume.35 No. 5 p.359 ~ p.363
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A Case of Pancreatic Arteriovenous Malformation Presenting Upper Gastrointestinal Bleeding
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Park Soo-Hee
Kim Mi-Jung
Ko Yoo-Sang
Lim You-Jin
Han Seung-Yong
Byun Hyeon-Woo
Choi Min-Ho
Jang Hyun-Joo
Kae Sea-Hyub
Lee Jin
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Abstract
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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. (Korean J Gastrointest Endosc 2007;35:359-363)
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KEYWORD
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Pancreas, Arteriovenous malformation, Pancreatico-cholangio-duodenal fistula, Bleeding
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