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Distal pancreatectomy for pancreatic arteriovenous malformation: report of a case
Ann Hepatobiliary Pancreat Surg 2017 Aug;21(3):172-5
Published online August 31, 2017
Copyright © 2017 Ann Hepatobiliary Pancreat Surg.

Young Il Choi

Department of Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea
Received June 4, 2017; Revised July 2, 2017; Accepted July 7, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Arteriovenous malformation (AVM) of the pancreas is an uncommon disease, which can cause an abdominal pain. This disease is characterized by a tangled vascular network, including the whole or part of the pancreas, resulting in portal hypertension by forming a shunt of the pancreas arteries to drain directly into the portal venous system. This study presents a case that was suspected as AVM of the pancreas by preoperative contrast-enhanced computed tomography scan (CT). A 49-year-old male patient had several episodes of abdominal discomfort associated with dys-pepsia for 4 days. Magnetic resonance imaging showed enhancement of the conglomeration about 1.5 cm size in diameter in the pancreas. Selective angiography showed the proliferation of a vascular network in the pancreas and an early visualization of the portal vein during the arterial phase. Distal pancreatectomy with splenectomy was done. Histology of the pancreas showed AVM, with enzymatic fat necrosis extending to the capsule of the pancreas. The patient recovered successfully without postoperative complications. Surgical resection of pancreas is the definitive treat-ment for symptomatic AVM. (Ann Hepatobiliary Pancreat Surg 2017;21:172-175)
Keywords : Pancreatic arteriovenous malformation