The Korean Journal of Medicine

  • 제84권5호
  • /
  • Pages.708-712
  • /
  • 2013
  • /
  • 1738-9364(pISSN)
  • /
  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
권호 표지
DOI QR코드

DOI QR Code

내시경 초음파로 진단된 췌장의 동정맥 기형 1예

A Case Report of Pancreatic Arteriovenous Malformation Diagnosed by Endoscopic Ultrasonography

  • 최유이 (부산대학교 의학전문대학원 내과학교실) ;
  • 이지원 (부산대학교 의학전문대학원 내과학교실) ;
  • 강동환 (부산대학교 의학전문대학원 내과학교실) ;
  • 김광하 (부산대학교 의학전문대학원 내과학교실) ;
  • 서형일 (부산대학교 의학전문대학원 외과학교실) ;
  • 김석 (부산대학교 의학전문대학원 영상의학교실) ;
  • 박도윤 (부산대학교 의학전문대학원 병리학교실)
  • Choi, Yu Yi (Department of Internal Medicine, Pusan National University School of Medicine) ;
  • Yi, Ji Won (Department of Internal Medicine, Pusan National University School of Medicine) ;
  • Kahng, Dong Hwahn (Department of Internal Medicine, Pusan National University School of Medicine) ;
  • Kim, Gwang Ha (Department of Internal Medicine, Pusan National University School of Medicine) ;
  • Seo, Hyung Il (Department of Surgery, Pusan National University School of Medicine) ;
  • Kim, Suk (Department of Radiology, Pusan National University School of Medicine) ;
  • Park, Do Youn (Department of Pathology, Pusan National University School of Medicine)
  • 투고 : 2012.05.23
  • 심사 : 2012.06.29
  • 발행 : 2013.05.01
⟨ 이전 논문 다음 논문 ⟩

초록

췌장의 AVM은 매우 드문 질환이나 원인이 명확하지 않은 복통, 반복적인 상부위장관 출혈 환자에서 감별 진단으로 고려되어야 하며, 컬러 도플러 초음파나 컴퓨터단층촬영 등의 적극적인 검사로 빠르게 진단하여 치료하는 것이 필요하다.

Pancreatic arteriovenous malformations (AVMs) are rare, and most cases occur as congenital anomalies. Many patients with AVM are asymptomatic, but occasionally present with abdominal pain or gastrointestinal bleeding. The increased portal vein flow that forms these malformations can lead to portal hypertension and gastrointestinal bleeding in the absence of primary liver pathology. Early diagnosis can lead to successful surgical resection or percutaneous transarterial embolization. We report a case of a patient with pancreatic AVM in the tail of the pancreas, in which endoscopic ultrasonography was helpful. This patient presented with abdominal pain and was subsequently treated with distal pancreatectomy.

키워드

참고문헌

  1. Meyer CT, Troncale FJ, Galloway S, Sheahan DG. Arteriovenous malformations of the bowel: an analysis of 22 cases and a review of the literature. Medicine (Baltimore) 1981;60:36-48. https://doi.org/10.1097/00005792-198101000-00004
  2. Nishiyama R, Kawanishi Y, Mitsuhashi H, et al. Management of pancreatic arteriovenous malformation. J Hepatobiliary Pancreat Surg 2000;7:438-442. https://doi.org/10.1007/s005340070041
  3. Song KB, Kim SC, Park JB, et al. Surgical outcomes of pancreatic arteriovenous malformation in a single center and review of literature. Pancreas 2012;41:388-396. https://doi.org/10.1097/MPA.0b013e31822a25cc
  4. Ogawa H, Itoh S, Mori Y, Suzuki K, Ota T, Naganawa S. Arteriovenous malformation of the pancreas: assessment of clinical and multislice CT features. Abdom Imaging 2009; 34:743-752. https://doi.org/10.1007/s00261-008-9465-8
  5. Uda O, Aoki T, Tsuchida A, et al. Pancreatic arteriovenous malformation observed to bleed from the bile duct and a duodenal ulcer: report of a case. Surg Today 1999;29: 462-466. https://doi.org/10.1007/BF02483042
  6. Rezende MB, Bramhall S, Hayes T, et al. Pancreatic arteriovenous malformation. Dig Surg 2003;20:65-69. https://doi.org/10.1159/000068856
  7. Kanno A, Satoh K, Kinura K, et al. Acute pancreatitis due to pancreatic arteriovenous malformation: 2 case reports and review of the literature. Pancreas 2006;32:422-425. https://doi.org/10.1097/01.mpa.0000220869.72411.39
  8. Park SH, Kim MJ, Ko YS, et al. A case of pancreatic arteriovenous malformation presenting upper gastrointestinal bleeding. Korean J Gastrointest Endosc 2007;35: 359-363.

피인용 문헌

  1. Pancreatic Arteriovenous Malformation Combined with Pseudocysts vol.23, pp.2, 2013, https://doi.org/10.15279/kpba.2018.23.2.60