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胰腺动静脉畸形所致急性胰腺炎:2例报告并文献复习

Acute pancreatitis due to pancreatic arteriovenous malformation: 2 case reports and review of the literature.

作者信息

Kanno Atsushi, Satoh Kennichi, Kimura Kenji, Masamune Atsushi, Asakura Tohru, Egawa Shinichi, Sunamura Makoto, Watanabe Mika, Shimosegawa Tooru

机构信息

Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan.

出版信息

Pancreas. 2006 May;32(4):422-5. doi: 10.1097/01.mpa.0000220869.72411.39.

Abstract

Pancreatic arteriovenous malformation (AVM) is a relatively rare disease. Based on our literature search, 51 cases of pancreatic AVM have been reported since 1968. The gastrointestinal bleeding is the most common presenting symptom (24/51 cases [47%]). There were only 6 cases of pancreatitis in these cases. We describe 2 cases of acute pancretitis with pancreatic AVM. The patients who were diagnosed with acute pancreatitis were admitted to our hospital. Pancreatitis was considered to be caused by pancreatic AVM by some modalities of diagnostic imaging. The respective pancreatic AVM lesions of patients were resected to prevent the recurrence of pancreatitis. They are asymptomatic after the surgery. Pancreatic AVM is thought to be the one of the reasons for acute pancreatitis.

摘要

胰腺动静脉畸形(AVM)是一种相对罕见的疾病。根据我们的文献检索,自1968年以来共报道了51例胰腺AVM。胃肠道出血是最常见的首发症状(24/51例[47%])。这些病例中仅有6例胰腺炎。我们描述2例合并胰腺AVM的急性胰腺炎。被诊断为急性胰腺炎的患者入住我院。通过某些诊断成像方式,胰腺炎被认为是由胰腺AVM引起的。切除了患者各自的胰腺AVM病变以预防胰腺炎复发。术后他们均无症状。胰腺AVM被认为是急性胰腺炎的原因之一。

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