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KMID : 0985520180230020060
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Korean Journal of Pancreas and Biliary Tract
2018 Volume.23 No. 2 p.60 ~ p.64
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Pancreatic Arteriovenous Malformation Combined with Pseudocysts
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Han Ji-Eun
Roh Myung-Hwan
Nam Won-Wook
Roh Mee-Sook
Park Byeong-Ho
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Abstract
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Pancreatic arteriovenous malformation (PAVM) is very rare anomaly. It occurs most commonly in the pancreatic head portion and gastrointestinal bleeding is the most common symptom. The management of PAVM is rather complex, with complete treatment usually accomplished by a total extirpation of the affected organ or at least its involved portion. We report the clinical presentation and management of 64 year-old male patient with PAVM, which was developed in pancreatic tail portion with sudden abdominal pain. Pancreatic computed tomography and magnetic resonance cholangio-pancreatography were consistent with a vascular formation on pancreatic tail portion and simultaneously revealed with pseudocysts beside it. A subsequent superior mesenteric artery angiographic findings depicted PAVM on pancreatic tail portion. The patient underwent laparoscopic distal pancreatectomy and splenectomy and had a favorable outcome.
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KEYWORD
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Pancreas, Arteriovenous malformation, Pseudocyst
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