Summary
We reported a case of asymptomatic pancreatic AVM, incidentally found on routine ultrasonography and diagnosed noninvasively by means of Doppler ultrasonography and MRI. The diagnosis was confirmed by angiography. This is the first report to demonstrate the characteristics of pancreatic AVM by these two imaging techniques. They proved to be useful in identifying the vascular nature of AVM without the use of a contrast material, which is a definite advantage over DSA and CT. The quality of the image obtained was equivalent or superior to that obtained by DSA and contrast-enhanced CT. Doppler ultrasonography and MRI may serve as the primary imaging techniques of choice in suspected cases of AVM.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Halpern M, Turner AF, Citron BP: Hereditary hemorrhagic telangiectasia. Radiology 90:1143–1149, 1968
Grannis FW, Foulk WT, Miller WE, Payne WS: Diagnosis and management of an arteriovenous fistula of pancreas and duodenum. Mayo Clin Proc 48:780–782, 1973
Lande A, Bedford A, Schechter LS: The spectrum of angiographic findings in Osler-Weber-Rendu disease. Angiology 27:223–240, 1976
Moore JD, Thompson NW, Appleman HD, Foley D: Arteriovenous malformations of the gastrointestinal tract. Arch Surg 111:381–389, 1976
Chuang VP, Pulmano CM, Walter JF, Cho KJ: Angiography of pancreatic arteriovenous malformation. Am J Roentgenol 129:1015–1018, 1977
Brinley JL, Palubinskas AJ: Congenital arteriovenous malformation of the pancreas. Br J Radiol 50:219–222, 1977
Nyman U: Angiography in hereditary hemorrhagic telangiectasia. Acta Radiol Diag 18:581–592, 1977
Ishikawa T: Congenital arteriovenous malformations involving the pancreas, pelvis, and retroperitoneum—a case report. Angiology 30:70–74, 1979
Lawhon NC: Radiologic seminar CCVI: Pancreatic arteriovenous malformation. J Miss State Med Assoc 21:184–185, 1980
Hines JR, Stryker SJ, Neiman HL, Larsen LR, Gottlieb J, Craig RM: Intraoperative angiography in intestinal angiodysplasia. Surg Gynecol Obstet 152:453–460, 1981
Mizutani N, Masuda Y, Naito N, Toda T, Yao E, Fukumoto M: Pancreatic arteriovenous malformation in a patient with gastrointestinal hemorrhage. Am J Gastroenterol 76:141–144, 1981
Gomes AS, Mali WP, Oppenheim WL: Embolization therapy in the management of congenital arteriovenous malformation. Radiology 144:41–49, 1982
Gomes AS, Busuttil RW, Baker JD, Oppenheim W, Machleder HI, Moore WS: Congenital arteriovenous malformations—the role of transcatheter arterial embolization. Arch Surg 118:817–825, 1983
Sawabu N, Ishida Y, Toya D, Yoneshima M, Hattori N, Kadoya M: Pancreatic anteriovenous malformation presenting as interesting findings on endoscopic retrograde pancreatography. Dig Dis Sci 29:678–682, 1984
Katoh H, Kojima T, Okushiba S, Shimozawa E, Tanabe T: Bleeding esophageal varices associated with pancreatic arteriovenous malformation. World J Surg 15:57–61, 1991
Cantarero JM, Liorente JG, Hidalgo EG, Hualde A, Ferreiro R: Splenic arteriovenous fistula: Diagnosis by duplex Doppler sonography. Am J Roentgenol 153:1313–1314, 1989
Harris K, Abu-Yousef MM: Duplex Doppler detection of intrarenal arteriovenous fistula and pseudoaneurysm. Am J Roentgenol 154:424, 1990
Selli C, Bartolozzi C, Lizzard G, Petacchi D: Arteriovenous fistula associated with renal cell carcinoma: Demonstration by magnetic resonance imaging. Urol Radiol 8:190–193, 1986
Amparo EG, Higgins CB, Hricak H: Primary diagnosis of abdominal arteriovenous fistula by MR Imaging. J Comput Assist Tomogr 8:1140–1142, 1984
Croks LE, Mills CM, Davis PL, Brant-Zawadski M, Hoenninger J, Arakawa M, Watts J, Kaufman L: Visualization of cerebral and vascular abnormalities by NMR imaging. The effect of imaging parameters on contrast. Radiology 144:843–852, 1982
Ponsky JL, Hoffman M, Rhodes RS: Arteriovenous fistula and portal hypertension secondary to islet-cell tumor of the pancreas. Surgery 85:408–411, 1979
Roe M, Greenough WG: Marked hypervascularity and arteriovenous shunting in acute pancreatitis. Radiology 113:47–48, 1974
Trapp RG, Breuer RI, Crampton AR, Davis IH, Derman RE, Larson RH, Victor TA: Pancreatic duct arteriovenous fistula and metastatic fat necrosis syndrome. Dig Dis Sci 24:403–408, 1979
Kitagawa K, Takashima T, Matsui O, Kadoya M, Makino T, Shinozaki K, Nishio T: Marked hypervascularity and early arteriovenous shunting with portal vein filling in chronic relapsing pancreatitis. Gastrointest Radiol 11:56–60, 1986
Kato T, Takahashi M, Okawada T, Miyazaki Y, Kaneko M: Pancreatic arteriovenous malformation treated by transcatheter embolization: Report of a case with hepatocellular carcinoma. Radiat Med 9:19–21, 1991
Uchino A, Ishino Y, Ohno M: Arteriovenous malformation of the pancreas associated with mesenteric varices: Case report and review of the literature. Radiat Med 7:6–9, 1989
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kurosaki, M., Hattori, K., Minato, Y. et al. Asymptomatic arteriovenous malformation of the pancreas. Digest Dis Sci 38, 1342–1346 (1993). https://doi.org/10.1007/BF01296088
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01296088