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CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR
DOI: 10.1055/s-0044-1788985
Case Report

Pancreatic Arteriovenous Malformation Presenting with Upper Gastrointestinal Bleeding: Treatment with Transarterial Embolization—A Case Report

S. Vignesh 
1   Department of Radiology, PK DAS Institute of Medical Sciences, Palakkad, Kerala, India
,
Abdulla K.V
1   Department of Radiology, PK DAS Institute of Medical Sciences, Palakkad, Kerala, India
,
Haris K.P
1   Department of Radiology, PK DAS Institute of Medical Sciences, Palakkad, Kerala, India
,
Satheesh Vasudevan
2   Department of Gastromedicine, PK DAS Institute of Medical Sciences, Palakkad, Kerala, India
,
Athulya Balan
3   Department of General Surgery, PK DAS Institute of Medical Sciences, Palakkad, Kerala, India
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Abstract

Pancreatic arteriovenous malformations (AVMs) are a rare entity among visceral AVMs and less common cause of gastrointestinal bleeding. We report a case of pancreatic AVM in a 45-year-old man who presented with upper gastrointestinal bleeding and duodenal ulcers, and was hemodynamically unstable. Ultrasound and computed tomography (CT) of the abdomen showed multiple dilated arterial channels in the head region of the pancreas, arising from the gastroduodenal artery, with early filling of the portal vein, suggestive of an AVM. Transarterial embolization was performed by selectively embolizing the arterial feeders using poly-vinyl alcohol (PVA) particles. Postembolization, obliteration of the AVM was seen. On follow-up 2 months later, the patient was clinically stable.

Keywords

pancreatic arteriovenous malformation - transarterial embolization - upper gastrointestinal bleeding - endovascular embolization


Publication History

Article published online:
16 August 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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