title: Arteriovenous malformation of the pancreatic head--difficulties in diagnosis and treatment.
abstract: A patient with pancreatic arteriovenous malformation who presented diagnostic and therapeutic difficulties is presented. The initial tests appeared to suggest inflammatory bowel disease, but the diagnosis was clinched by the finding of blood issuing from the ampulla of Vater. Repeated angiographic embolization did not obliterate the vascular malformation, and the symptoms eventually resolved after Whipple's pancreaticoduodenectomy.
authors.affiliation: Department of Surgical Gastroenterology and Radiology, Lakeshore Hospital and Research Center, Cochin, Kerala, India.
authors.forename: M
authors.initials: M
authors.lastname: Sharma
authors.forename: M M S
authors.initials: MM
authors.lastname: Bedi
authors.forename: S
authors.initials: S
authors.lastname: Mahesh
authors.forename: M D
authors.initials: MD
authors.lastname: Gandhi
authors.forename: R
authors.initials: R
authors.lastname: Antony
authors.forename: R J
authors.initials: RJ
authors.lastname: Mukkada
authors.forename: V
authors.initials: V
authors.lastname: Lekha
authors.forename: H
authors.initials: H
authors.lastname: Ramesh
mesh_terms: D000328:Adult; D001165:Arteriovenous Malformations / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D008551:Melena / Q000209:etiology; D010179:Pancreas / Q000098:blood supply*; D016577:Pancreaticoduodenectomy