Butte Jean M, San Francisco Ignacio F, Pacheco Francisco, Solar Antonieta, Crovari Fernando J, Jarufe Nicolás P
Department of Gastrointestinal Surgery, Faculty of Medicine, Pontificia Universidad Católica de Chile, Marcoleta 367, Santiago, Chile.
Surg Today. 2007;37(7):604-7. doi: 10.1007/s00595-006-3459-3. Epub 2007 Jun 26.
Arteriovenous malformation (AVM) of the pancreas (AVMP) is uncommon and generally asymptomatic; therefore, few cases have so far been reported. The symptoms of AVMP include gastrointestinal bleeding, pain, and portal hypertension. Definitive diagnosis is confirmed by angiographic study, and surgery is the only effective treatment. We report a case of AVMP confirmed by computed tomography, magnetic resonance imaging, and angiographic study of the abdomen, in a patient who presented to us with epigastric pain. He underwent a pancreaticoduodenectomy, following which his symptoms resolved.
胰腺动静脉畸形（AVM）（AVMP）并不常见，通常无症状；因此，迄今为止报道的病例很少。AVMP的症状包括胃肠道出血、疼痛和门静脉高压。通过血管造影研究可确诊，手术是唯一有效的治疗方法。我们报告一例经腹部计算机断层扫描、磁共振成像和血管造影研究确诊的AVMP病例，该患者因上腹部疼痛前来就诊。他接受了胰十二指肠切除术，术后症状缓解。
