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Published on: October 20, 2017
Acquired Pancreatic Arteriovenous Malformation.
A Van Holsbeeck1, I Dalle2, K Geldof1
1Department of Radiology, AZ Saint-Lucas Hospital, Brugge, Belgium.
Pancreatic arteriovenous malformation, a rare vascular anomaly, can cause significant symptoms. This case supports the theory that pancreatitis may lead to secondary pancreatic arteriovenous malformation, treatable with embolization or surgery.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Radiology
Background:
- Pancreatic arteriovenous malformation (PAVM) is a rare vascular anomaly.
- PAVM can manifest with abdominal pain, pancreatitis, GI bleeding, and portal hypertension.
- While typically congenital, secondary PAVM due to pancreatitis is a debated etiology.
Purpose of the Study:
- To present a case supporting the hypothesis of secondary PAVM formation post-pancreatitis.
- To review diagnostic modalities for PAVM.
- To discuss treatment options for PAVM.
Main Methods:
- Case report presentation.
- Review of diagnostic imaging, emphasizing dynamic contrast-enhanced studies and angiography.
- Discussion of treatment strategies including surgical resection and transarterial embolization.
Main Results:
- The presented case supports the presumption of secondary PAVM development following pancreatitis.
- Dynamic contrast-enhanced imaging and angiography are crucial for diagnosis.
- Effective treatment options include surgical resection and/or transarterial embolization.
Conclusions:
- This case provides evidence for pancreatitis as a potential cause of secondary pancreatic arteriovenous malformation.
- Accurate diagnosis relies on advanced imaging techniques, particularly angiography.
- Interventional and surgical treatments offer effective management for PAVM.
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