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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...

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Autores principales: Yamabuki, Takumi, Ohara, Masanori, Kimura, Noriko, Okamura, Kunishige, Kuroda, Aki, Takahashi, Ryo, Komuro, Kazuteru, Iwashiro, Nozomu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2014
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.
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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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