Pancreatic Arteriovenous Malformation
An unusual case of pancreatic arteriovenous malformation (P-AVM) combined with esophageal cancer is reported. A 59-year-old man was admitted with upper abdominal pain. Contrast-enhanced computed tomography showed numerous strongly enhanced abnormal vessels and a hypovascular lesion in the area of th...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Karger Publishers
2014-01-01
|
Series: | Case Reports in Gastroenterology |
Subjects: | |
Online Access: | http://www.karger.com/Article/FullText/358193 |
id |
doaj-bdd63fc821734208b866c82905494aa0 |
---|---|
record_format |
Article |
spelling |
doaj-bdd63fc821734208b866c82905494aa02020-11-24T23:12:08ZengKarger PublishersCase Reports in Gastroenterology1662-06312014-01-0181263110.1159/000358193358193Pancreatic Arteriovenous MalformationTakumi YamabukiMasanori OharaNoriko KimuraKunishige OkamuraAki KurodaRyo TakahashiKazuteru KomuroNozomu IwashiroAn unusual case of pancreatic arteriovenous malformation (P-AVM) combined with esophageal cancer is reported. A 59-year-old man was admitted with upper abdominal pain. Contrast-enhanced computed tomography showed numerous strongly enhanced abnormal vessels and a hypovascular lesion in the area of the pancreatic tail. Angiographic study of the celiac artery confirmed racemose vascular networks in the tail of the pancreas. Endoscopic retrograde pancreatography revealed narrowing and displacement of the main pancreatic duct in the tail of the pancreas. Screening esophagoscopy showed a 0-IIa+IIc type tumor in the lower thoracic esophagus. Histological examination of esophagoscopic biopsies showed squamous cell carcinoma. Based on these findings, P-AVM or pancreatic cancer and esophageal cancer were diagnosed. Video-assisted thoracoscopic esophagectomy and distal pancreatectomy were performed. Histological examination of the resected pancreas revealed abundant abnormal vessels with intravascular thrombi. In addition, rupture of a dilated pancreatic duct with pancreatic stones and both severe atrophy and fibrosis of the pancreatic parenchyma were observed. The final diagnoses were P-AVM consequent to severe chronic pancreatitis and esophageal carcinoma. The patient's postoperative course was relatively good.http://www.karger.com/Article/FullText/358193PancreasDistal pancreatectomyArteriovenous malformation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Takumi Yamabuki Masanori Ohara Noriko Kimura Kunishige Okamura Aki Kuroda Ryo Takahashi Kazuteru Komuro Nozomu Iwashiro |
spellingShingle |
Takumi Yamabuki Masanori Ohara Noriko Kimura Kunishige Okamura Aki Kuroda Ryo Takahashi Kazuteru Komuro Nozomu Iwashiro Pancreatic Arteriovenous Malformation Case Reports in Gastroenterology Pancreas Distal pancreatectomy Arteriovenous malformation |
author_facet |
Takumi Yamabuki Masanori Ohara Noriko Kimura Kunishige Okamura Aki Kuroda Ryo Takahashi Kazuteru Komuro Nozomu Iwashiro |
author_sort |
Takumi Yamabuki |
title |
Pancreatic Arteriovenous Malformation |
title_short |
Pancreatic Arteriovenous Malformation |
title_full |
Pancreatic Arteriovenous Malformation |
title_fullStr |
Pancreatic Arteriovenous Malformation |
title_full_unstemmed |
Pancreatic Arteriovenous Malformation |
title_sort |
pancreatic arteriovenous malformation |
publisher |
Karger Publishers |
series |
Case Reports in Gastroenterology |
issn |
1662-0631 |
publishDate |
2014-01-01 |
description |
An unusual case of pancreatic arteriovenous malformation (P-AVM) combined with esophageal cancer is reported. A 59-year-old man was admitted with upper abdominal pain. Contrast-enhanced computed tomography showed numerous strongly enhanced abnormal vessels and a hypovascular lesion in the area of the pancreatic tail. Angiographic study of the celiac artery confirmed racemose vascular networks in the tail of the pancreas. Endoscopic retrograde pancreatography revealed narrowing and displacement of the main pancreatic duct in the tail of the pancreas. Screening esophagoscopy showed a 0-IIa+IIc type tumor in the lower thoracic esophagus. Histological examination of esophagoscopic biopsies showed squamous cell carcinoma. Based on these findings, P-AVM or pancreatic cancer and esophageal cancer were diagnosed. Video-assisted thoracoscopic esophagectomy and distal pancreatectomy were performed. Histological examination of the resected pancreas revealed abundant abnormal vessels with intravascular thrombi. In addition, rupture of a dilated pancreatic duct with pancreatic stones and both severe atrophy and fibrosis of the pancreatic parenchyma were observed. The final diagnoses were P-AVM consequent to severe chronic pancreatitis and esophageal carcinoma. The patient's postoperative course was relatively good. |
topic |
Pancreas Distal pancreatectomy Arteriovenous malformation |
url |
http://www.karger.com/Article/FullText/358193 |
work_keys_str_mv |
AT takumiyamabuki pancreaticarteriovenousmalformation AT masanoriohara pancreaticarteriovenousmalformation AT norikokimura pancreaticarteriovenousmalformation AT kunishigeokamura pancreaticarteriovenousmalformation AT akikuroda pancreaticarteriovenousmalformation AT ryotakahashi pancreaticarteriovenousmalformation AT kazuterukomuro pancreaticarteriovenousmalformation AT nozomuiwashiro pancreaticarteriovenousmalformation |
_version_ |
1725602362565853184 |