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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
14:58

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

Management of pancreatic arteriovenous malformation

R Nishiyama1, Y Kawanishi, H Mitsuhashi

  • 1Hamamatsu Social Insurance Hospital, Hamamatsu, Japan.

Journal of Hepato-Biliary-Pancreatic Surgery
|February 17, 2001
PubMed

Insights

Pancreatic arteriovenous malformations (AVM) can cause severe gastrointestinal bleeding. Surgical removal, like pancreatoduodenectomy, offers definitive treatment for pancreatic AVM before complications arise.

Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Interventional Radiology

Background:

  • Pancreatic arteriovenous malformations (AVM) are rare vascular anomalies.
  • These malformations often present with significant gastrointestinal bleeding.
  • Portal hypertension complicates the management of pancreatic AVM.

Observation:

  • A case of congenital pancreatic head AVM presenting with recurrent melena is described.
  • Pylorus-preserving pancreatoduodenectomy was successfully employed for definitive management.
  • Literature review highlights diagnostic and therapeutic strategies for pancreatic AVM.

Findings:

  • Angiography is crucial for treatment planning, complementing non-invasive imaging.
  • Complete surgical extirpation of the affected pancreatic portion is recommended for regression.
  • Transcatheter arterial embolization serves as an alternative for hemorrhage control.

Implications:

  • Early diagnosis and surgical intervention are vital to prevent lethal complications.
  • Pylorus-preserving pancreatoduodenectomy is a viable option for pancreatic head AVM.
  • Multidisciplinary approaches are essential for managing complex pancreatic vascular lesions.

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