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Published on: February 9, 2024
Arteriovenous malformation of the pancreas: report of a case
Jean M Butte1, Ignacio F San Francisco, Francisco Pacheco
1Department of Gastrointestinal Surgery, Faculty of Medicine, Pontificia Universidad Católica de Chile, Marcoleta 367, Santiago, Chile.
Abstract:
Arteriovenous malformation (AVM) of the pancreas (AVMP) is uncommon and generally asymptomatic; therefore, few cases have so far been reported. The symptoms of AVMP include gastrointestinal bleeding, pain, and portal hypertension. Definitive diagnosis is confirmed by angiographic study, and surgery is the only effective treatment. We report a case of AVMP confirmed by computed tomography, magnetic resonance imaging, and angiographic study of the abdomen, in a patient who presented to us with epigastric pain. He underwent a pancreaticoduodenectomy, following which his symptoms resolved.
Insights
Arteriovenous malformation of the pancreas (AVMP) is rare and often asymptomatic. This case highlights AVMP diagnosis and successful surgical treatment for epigastric pain.
Area of Science:
- Gastroenterology and Diagnostic Imaging
Background:
- Arteriovenous malformation of the pancreas (AVMP) is an uncommon vascular anomaly.
- AVMP often presents asymptomatically, leading to infrequent case reports.
Observation:
- A patient presented with epigastric pain, a potential symptom of AVMP.
- Diagnostic imaging, including computed tomography, magnetic resonance imaging, and angiography, confirmed the AVMP diagnosis.
Findings:
- Surgical intervention, specifically pancreaticoduodenectomy, was performed.
- The patient's symptoms resolved post-operatively, indicating successful treatment.
Implications:
- This case underscores the importance of considering AVMP in patients with unexplained abdominal pain.
- Definitive diagnosis via imaging and surgical resection remain the primary management strategy for symptomatic AVMP.