title: Cephalic pancreaticoduodenectomy for bleeding duodenal arteriovenous malformation.
abstract: Introduction Treatment of recurrent severe gastrointestinal bleeding due to arteriovenous malformations may require complex resections. In some particular locations, extensive surgery is the only way out, as shown in this report. Case Report A 2.5-year-old child suffered repeated episodes of upper gastrointestinal bleeding since the first month of life. After an extensive diagnostic workout, the diagnosis of duodenal arteriovenous malformation was established. Cephalic pancreaticoduodenectomy with pyloric preservation was performed and no further episodes of bleeding occurred in the ensuing 2 years. Conclusion Bleeding malformations located in the pancreaticoduodenal area can be effectively treated in children by pylorus-preserving cephalic pancreaticoduodenectomy.
authors.affiliation: Department of Pediatric Surgery, Hospital Universitario La Paz, Idipaz, Madrid, Spain.
authors.forename: Ruben
authors.initials: R
authors.lastname: Ortiz
authors.affiliation: Department of Pediatric Surgery, Hospital Universitario La Paz, Idipaz, Madrid, Spain.
authors.forename: Eva
authors.initials: E
authors.lastname: Dominguez
authors.affiliation: Department of Pediatric Surgery, Hospital Universitario La Paz, Idipaz, Madrid, Spain.
authors.forename: S
authors.initials: S
authors.lastname: Barrena
authors.affiliation: Department of Pediatric Surgery, Hospital Universitario La Paz, Idipaz, Madrid, Spain.
authors.forename: Leopoldo
authors.initials: L
authors.lastname: Martinez
authors.affiliation: Department of Pediatric Gastroenterology, Hospital Universitario La Paz, Madrid, Spain.
authors.forename: Gerardo
authors.initials: G
authors.lastname: Prieto
authors.affiliation: Department of Pathology, Hospital Universitario La Paz, Madrid, Spain.
authors.forename: Emilio
authors.initials: E
authors.lastname: Burgos
authors.affiliation: Department of Pediatric Surgery, Hospital Universitario La Paz, Idipaz, Madrid, Spain.
authors.forename: Juan Antonio
authors.initials: JA
authors.lastname: Tovar
keywords: arteriovenous malformation; gastrointestinal bleeding; pancreaticoduodenectomy; vascular malformation