Korean J Gastrointest Endosc > Volume 35(5); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(5): 359-363.
상부 위장관 출혈로 발현한 췌장의 동정맥 기형 1예
박수희ㆍ김미정ㆍ고유상ㆍ임유진ㆍ한승용ㆍ변현우ㆍ최민호ㆍ장현주ㆍ계세협ㆍ이 진
한림대학교 의과대학 내과학교실
A Case of Pancreatic Arteriovenous Malformation Presenting Upper Gastrointestinal Bleeding
Su Hee Park, M.D., Mi Jeong Kim, M.D., You Sang Ko, M.D., You Jin Lim, M.D., Seung Yong Han, M.D., Hyun Woo Byun, M.D., Min Ho Choi, M.D., Hyun Joo Jang, M.D., Sea Hyub Kye, M.D. and Jin Lee, M.D.
Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea
Abstract
A pancreatic arteriovenous malformation (AVM) is a very rare disease entity that is usually asymptomatic; however, it may present with a massive gastrointestinal hemorrhage. Recent advances in cross-sectional imaging and the widespread availability of angiography have contributed to the diagnosis of this condition. A patient was transferred to our clinic due to unknown origin gastrointestinal bleeding and upper abdominal pain. Double balloon enteroscopy and duodenoscopy revealed a bleeding pancreatico-cholangio-duodenal fistula. We were able to diagnose an arteriovnous malformation with a pancreatico- cholangio-duodenal fistula by the use of angiography and from the post-operative pathological findings. (Korean J Gastrointest Endosc 2007;35:359-363)
Key Words: Pancreas, Arteriovenous malformation, Pancreatico-cholangio-duodenal fistula, Bleeding
주요어: 췌장, 동정맥 기형, 담관-췌관-십이지장 누공, 출혈
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