Surgical resection of arteriovenous malformation of the pancreatic head with acute pancreatitis: a case report.

arteriovenous fistula pancreas pancreaticoduodenectomy surgery

Journal

Journal of surgical case reports
ISSN: 2042-8812
Titre abrégé: J Surg Case Rep
Pays: England
ID NLM: 101560169

Informations de publication

Date de publication:
Sep 2022
Historique:
received: 28 07 2022
accepted: 23 08 2022
entrez: 5 10 2022
pubmed: 6 10 2022
medline: 6 10 2022
Statut: epublish

Résumé

Arteriovenous malformations (AVMs) are uncommon in the gastrointestinal tract, particularly in the pancreas. AVMs cause complications, including gastrointestinal bleeding, portal hypertension and pancreatitis. Therefore, a treatment strategy is not yet established. Surgical treatment or transcatheter arterial embolization is performed in patients with AVM, considering their conditions. A 54-year-old man presented with acute abdominal pain was diagnosed with acute pancreatitis due to AVM of the pancreatic head using dynamic computed tomography. Endoscopic ultrasonography further revealed meandering blood vessels in the pancreatic head. The patient underwent subtotal stomach-preserving pancreaticoduodenectomy. Histological examination revealed AVM of the pancreatic head with chronic pancreatitis. The patient had a good postoperative clinical course and was discharged on postoperative day 22. He remained asymptomatic. Pancreaticoduodenectomy can be considered an effective treatment method for selected cases of symptomatic AVM of the pancreatic head.

Identifiants

pubmed: 36196137
doi: 10.1093/jscr/rjac427
pii: rjac427
pmc: PMC9522385
doi:

Types de publication

Case Reports

Langues

eng

Pagination

rjac427

Informations de copyright

Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2022.

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Auteurs

Hiroyuki Hakoda (H)

Department of Surgery, Asahi General Hospital, Chiba, Japan.

Yoshikuni Kawaguchi (Y)

Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Yoichi Miyata (Y)

Department of Surgery, Asahi General Hospital, Chiba, Japan.

Junichi Togashi (J)

Department of Surgery, Asahi General Hospital, Chiba, Japan.

Motoki Nagai (M)

Department of Surgery, Asahi General Hospital, Chiba, Japan.

Yoshio Suzuki (Y)

Department of Pathology, Asahi General Hospital, Chiba, Japan.

Yukihiro Nomura (Y)

Department of Surgery, Asahi General Hospital, Chiba, Japan.

Classifications MeSH