Pancreatic arteriovenous malformation: A multi-modal diagnostic approach

Pancreatic arteriovenous malformation is exceptionally rare with fewer than 200 cases reported in the literature. It is usually asymptomatic, although patients can present with abdominal pain, gastrointestinal bleeding, or portal hypertension. Their radiological features can closely mimic those of other hypervascular pancreatic lesions, particularly pancreatic neuroendocrine tumours, making accurate diagnosis challenging. We report the case of a 77-year-old patient with incidentally detected hypervascular pancreatic nodules and the importance of a multimodal approach in establishing the diagnosis of pancreatic arteriovenous malformation.