[Hemobilia from pancreatic arteriovenous malformation: successful treatment with transportal coil embolization of draining veins].
Pancreatic arteriovenous malformations (AVM) are extremely rare diseases frequently complicated by gastrointestinal hemorrhage. While surgical resection of affected lesion is preferred for the treatment of pancreatic AVM, angiographic intervention can be used as an alternative treatment, especially in surgically high-risk patients. We experienced a patient with pancreatic AVM manifested by hemobilia and biliary sepsis. Superior mesenteric and common hepatic arteriography showed pancreaticoduodenal AVM composed of nidus supplied by numerous fine feeding arteries and of draining veins encircling the common bile duct (CBD). Hemobilia was controlled by transportal coil embolization of draining veins of AVM around the CBD. Herein, we report this case with the review of literatures.
Eum
Jun-Bum
JB
Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
Bang
Sung-Jo
SJ
Hwang
Jae Cheol
JC
Hwang
Young Tae
YT
Seo
Jung Min
JM
Jung
Seok Won
SW
Nam
Chang Woo
CW
Kim
Do Ha
DH
D001165:Arteriovenous Malformations / Q000473:pathology / Q000628:therapy*; D004384:Duodenoscopy; D004621:Embolization, Therapeutic; D006431:Hemobilia / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000098:blood supply*; D016577:Pancreaticoduodenectomy; D014057:Tomography, X-Ray Computed