title: Hypervascular lesion in the head of the pancreas. Preoperative angiography and selective embolization results in bloodless operation.
abstract: BACKGROUND
  Pancreatic neuroendocrine tumors (PNETs) are rare tumors. These tumors are hypervascular in nature. Their surgical management is well described and practiced. Although hypervascular in their nature, preoperative angioembolization of the primary tumor is usually not indicated.
  
  
  METHODS
  We describe a case of an extremely hypervascular PNET in the head of the pancreas that was managed with preoperative angioembolization that was followed by a Whipple operation that resulted in excellent recovery.
  
  
  CONCLUSIONS
  Pre-operative angioembolization of pancreatic tumors, although previously reported, is exceedingly rare. The use of this technique prior to surgery is feasible and may result in bloodless surgery and better outcome.
authors.affiliation: Department of General Surgery, Rambam Health Care Center. Haifa, Israel. o_ben-ishay@Rambam.health.gov.il
authors.forename: Offir
authors.initials: O
authors.lastname: Ben-Ishay
authors.forename: Revital
authors.initials: R
authors.lastname: Linder
authors.forename: Amos
authors.initials: A
authors.lastname: Ofer
authors.forename: Eli
authors.initials: E
authors.lastname: Kakiashvili
authors.forename: Yoram
authors.initials: Y
authors.lastname: Kluger
mesh_terms: D000328:Adult; D000792:Angiography; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D008297:Male; D018358:Neuroendocrine Tumors / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*