Yoon SY, Jeon GS, Lee SJ, Kim DJ, Kwon CI, Park MH. Embolization of pancreatic arteriovenous malformation: A case report. World J Clin Cases 2020; 8(8): 1471-1476 [PMID: 32368539 DOI: 10.12998/wjcc.v8.i8.1471]
Corresponding Author of This Article
Gyeong Sik Jeon, MD, PhD, Doctor, Department of Radiology, CHA Bundang Medical Center, College of Medicine, CHA University, 59 Yatap-ro, Bundang-gu, Seongnam-si 13496, Gyeonggi-do, South Korea. hae0820@naver.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Apr 26, 2020; 8(8): 1471-1476 Published online Apr 26, 2020. doi: 10.12998/wjcc.v8.i8.1471
Embolization of pancreatic arteriovenous malformation: A case report
So Yeon Yoon, Gyeong Sik Jeon, Shin Jae Lee, Dae Joong Kim, Chang Il Kwon, Mi Hyun Park
So Yeon Yoon, Gyeong Sik Jeon, Dae Joong Kim, Department of Radiology, CHA Bundang Medical Center, College of Medicine, CHA University, Seongnam-si 13496, Gyeonggi-do, South Korea
Shin Jae Lee, Department of Radiology, Research Institute of Radiological Science, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin-si 17046, South Korea
Chang Il Kwon, Department of Internal Medicine, Digestive Disease Center, CHA Bundang Medical Center, College of Medicine, CHA University, Seongnam-si 13496, Gyeonggi-do, South Korea
Mi Hyun Park, Department of Radiology, Dankook University Hospital, Chungcheongnam-do 31116, South Korea
Author contributions: Jeon GS conceived the report; Jeon GS and Yoon SY wrote the first draft with input from all authors; Jeon GS, Kim DJ, Park MH and Lee SJ carried out the literature search and provided the figures; Kwon CI interpreted the patient data regarding the disease; Jeon GS and Yoon SY revised the manuscript for important intellectual content; all authors read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016) and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Gyeong Sik Jeon, MD, PhD, Doctor, Department of Radiology, CHA Bundang Medical Center, College of Medicine, CHA University, 59 Yatap-ro, Bundang-gu, Seongnam-si 13496, Gyeonggi-do, South Korea. hae0820@naver.com
Received: February 19, 2020 First decision: March 21, 2020 Revised: April 9, 2020 Accepted: April 17, 2020 Article in press: April 17, 2020 Published online: April 26, 2020 Processing time: 64 Days and 2.6 Hours
Abstract
BACKGROUND
Pancreatic arteriovenous malformation (AVM) is a rare disease with a number of different reported treatment methods, but there are as yet no established or definite treatments for the disease.
CASE SUMMARY
A 43-year-old man visited the hospital due to periumbilical pain. The patient underwent imaging study and laboratory testing for evaluation of cause. Pancreatic AVM associated with pancreatitis was suspected on computed tomography and magnetic resonance imaging. The patient was diagnosed with pancreatic AVM with pancreatitis on imaging study and angiography. Transcatheter arterial embolization with various embolic materials was performed. Follow-up computed tomography scan revealed progressive regression of AVM and improvement of pancreatitis. At two-year follow-up, the patient showed no recurrence of symptom or pancreatitis.
CONCLUSION
Transcatheter arterial embolization can be considered an effective treatment modality for selective cases of pancreatic AVM.
Core tip: Pancreatic arteriovenous malformation (AVM) is a rare disease. Symptoms of AVM are variable. Gastrointestinal bleeding and abdominal pain have been commonly reported. A treatment of choice for pancreatic AVM has not been established yet. Medical treatment, radiation therapy, surgery, and embolization have been reported in previous papers. Transcatheter arterial embolization could be considered safe and effective treatment modality for selective cases of pancreatic AVM.
