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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger AG
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3934809/ https://www.ncbi.nlm.nih.gov/pubmed/24574946 http://dx.doi.org/10.1159/000358193 |
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author | Yamabuki, Takumi Ohara, Masanori Kimura, Noriko Okamura, Kunishige Kuroda, Aki Takahashi, Ryo Komuro, Kazuteru Iwashiro, Nozomu |
author_facet | Yamabuki, Takumi Ohara, Masanori Kimura, Noriko Okamura, Kunishige Kuroda, Aki Takahashi, Ryo Komuro, Kazuteru Iwashiro, Nozomu |
author_sort | Yamabuki, Takumi |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-3934809 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | S. Karger AG |
record_format | MEDLINE/PubMed |
spelling | pubmed-39348092014-02-26 Pancreatic Arteriovenous Malformation Yamabuki, Takumi Ohara, Masanori Kimura, Noriko Okamura, Kunishige Kuroda, Aki Takahashi, Ryo Komuro, Kazuteru Iwashiro, Nozomu Case Rep Gastroenterol Published online: January, 2014 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. S. Karger AG 2014-01-15 /pmc/articles/PMC3934809/ /pubmed/24574946 http://dx.doi.org/10.1159/000358193 Text en Copyright © 2014 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions. |
spellingShingle | Published online: January, 2014 Yamabuki, Takumi Ohara, Masanori Kimura, Noriko Okamura, Kunishige Kuroda, Aki Takahashi, Ryo Komuro, Kazuteru Iwashiro, Nozomu Pancreatic Arteriovenous Malformation |
title | Pancreatic Arteriovenous Malformation |
title_full | Pancreatic Arteriovenous Malformation |
title_fullStr | Pancreatic Arteriovenous Malformation |
title_full_unstemmed | Pancreatic Arteriovenous Malformation |
title_short | Pancreatic Arteriovenous Malformation |
title_sort | pancreatic arteriovenous malformation |
topic | Published online: January, 2014 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3934809/ https://www.ncbi.nlm.nih.gov/pubmed/24574946 http://dx.doi.org/10.1159/000358193 |
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