Iwata Shota, Iwashita Takuji, Senju Akihiko, Tezuka Ryuichi, Uemura Shinya, Fukada Masahiro, Murase Katsutoshi, Matsuhashi Nobuhisa, Saigo Chiemi, Miyazaki Tatsuhiko, Shimizu Masahito
First Department of Internal Medicine, Gifu University Hospital, Japan.
Department of Gastroenterological Surgery ・ Pediatric Surgery, Gifu University Hospital, Japan.
Intern Med. 2025 Mar 15;64(6):839-844. doi: 10.2169/internalmedicine.3699-24. Epub 2024 Sep 4.
A 73-year-old man presented with left hypochondral pain. Dynamic computed tomography (CT) revealed abnormal vessels surrounding the pancreas, leading to a suspected diagnosis of pancreatic arteriovenous malformation (PAVM). At the time of the initial examination, dynamic CT revealed mild acute pancreatitis, and PAVM was diagnosed based on the findings of dynamic CT. Although repeated abdominal pain was observed after the improvement of pancreatitis, distal pancreatectomy was performed. At >1 year after surgery, no recurrence of PAVM was observed. Surgical resection should be considered in patients with symptomatic PAVM.