• Medicine · Dec 2021

    Review Case Reports

    Management of pancreatic arteriovenous malformation: Case report and literature review.

    • Wei Wu, Feng-Duo An, Cheng-Lin Piao, Ming-Kun Tan, Zhen-Duo Si, Lan Xin, Na Zhao, and Jian-Jun Leng.
    • Hepatopancreatobiliary Surgery, Peking University Shougang Hospital, Beijing, China.
    • Medicine (Baltimore). 2021 Dec 23; 100 (51): e27983e27983.

    IntroductionPancreatic arteriovenous malformation (P-AVM) is a rare vascular malformation. Fewer than 200 cases have been reported. The clinical manifestations lack specificity. Common symptoms include abdominal pain, gastrointestinal hemorrhage, and jaundice, which is easily confused with other disorders.Patient ConcernsA 42-year-old man received TAE due to abdominal pain caused by P-AVM in a local hospital, melena and abdominal pain occurred in a short time after TAE.DiagnosisThe patient was diagnosed as P-AVM which was confirmed by computed tomography and digital subtraction angiography.InterventionsA pylorus-preserving pancreatoduodenectomy was successfully performed after diagnosis was made.OutcomesThe patient recovered with no complications two weeks after surgery, and no sign of recurrence was found during the 4-mo follow-up period.ConclusionIn our experience, TAE may have limitations in the treatment of P-AVM and surgical resection should be considered as the treatment of choice.Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

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