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.
一名73岁男性因左季肋部疼痛就诊。动态计算机断层扫描（CT）显示胰腺周围血管异常，怀疑诊断为胰腺动静脉畸形（PAVM）。初次检查时，动态CT显示轻度急性胰腺炎，根据动态CT结果诊断为PAVM。胰腺炎好转后虽有反复腹痛，但仍进行了胰腺远端切除术。术后1年以上未观察到PAVM复发。有症状的PAVM患者应考虑手术切除。
