Tatsuta Tetsuya, Endo Tetsu, Watanabe Kiyotaka, Hasui Keisuke, Sawada Naoya, Igarashi Go, Mikami Kenichiro, Shibutani Koichi, Tsushima Fumiyasu, Takai Yoshihiro, Fukuda Shinsaku
Department of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, Japan.
Intern Med. 2014;53(23):2683-7. doi: 10.2169/internalmedicine.53.3327. Epub 2014 Dec 1.
A 57-year-old man was referred and admitted to our hospital for treatment of a symptomatic pancreatic mass. Pancreatic arteriovenous malformation (AVM) was diagnosed based on the findings of contrast-enhanced computed tomography (CT) and angiography, and transcatheter arterial embolization (TAE) with N-butyl-2-cyanoacrylate (NBCA) was performed without complications. The patient's symptoms subsequently improved after TAE, and resolution of the pancreatic AVM was detected on contrast-enhanced CT performed six months after the embolization procedure. This case indicates that TAE with NBCA is a safe and effective treatment for pancreatic AVM.
一名57岁男性因有症状的胰腺肿块被转诊至我院接受治疗。根据增强计算机断层扫描（CT）和血管造影的结果诊断为胰腺动静脉畸形（AVM），并采用N-丁基-2-氰基丙烯酸酯（NBCA）进行经导管动脉栓塞术（TAE），未出现并发症。TAE术后患者症状随后改善，栓塞术后6个月进行的增强CT检查发现胰腺AVM消失。该病例表明，使用NBCA进行TAE是治疗胰腺AVM的一种安全有效的方法。
