TY - JOUR
T1 - Arteriovenous malformation of the pancreas
T2 - A case report and review of literature
AU - Makhoul, Fadi
AU - Kaur, Paramjeet
AU - Johnston, Thomas D.
AU - Jeon, Hoonbae
AU - Gedaly, Roberto
AU - Ranjan, Dinesh
PY - 2008/12
Y1 - 2008/12
N2 - Extrahepatic arteriovenous malformations (AVMs) of the gastrointestinal (GI) tract are rare and mostly asymptomatic congenital anomalies. The present case describes a 45-year-old woman with an AVM in the head of the pancreas, which caused massive GI bleeding that recurred after embolization, and which was subsequently treated with a pylorus-preserving Whipple pancreaticoduodenectomy. The authors then review the available literature pertaining to AVMs of the GI tract, the diagnostic modalities that have been used to identify them and the treatment approaches that have been described to date, which range from coil embolization of the feeding artery to radical resection of the affected organ. It is important to remember that these lesions shunt blood between the high-pressure arterial system and the low-pressure portal system, which leads to the much dreaded consequence of portal hypertension.
AB - Extrahepatic arteriovenous malformations (AVMs) of the gastrointestinal (GI) tract are rare and mostly asymptomatic congenital anomalies. The present case describes a 45-year-old woman with an AVM in the head of the pancreas, which caused massive GI bleeding that recurred after embolization, and which was subsequently treated with a pylorus-preserving Whipple pancreaticoduodenectomy. The authors then review the available literature pertaining to AVMs of the GI tract, the diagnostic modalities that have been used to identify them and the treatment approaches that have been described to date, which range from coil embolization of the feeding artery to radical resection of the affected organ. It is important to remember that these lesions shunt blood between the high-pressure arterial system and the low-pressure portal system, which leads to the much dreaded consequence of portal hypertension.
KW - Arteriovenous malformation
KW - Osler-Weber-Rendu disease
KW - Portal hypertension
KW - Pylorus-preserving Whipple pancreaticoduodenectomy
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U2 - 10.1055/s-0031-1278312
DO - 10.1055/s-0031-1278312
M3 - Review article
C2 - 22477452
AN - SCOPUS:80053014150
SN - 1061-1711
VL - 17
SP - 211
EP - 213
JO - International Journal of Angiology
JF - International Journal of Angiology
IS - 4
ER -