A case of duodenal hemorrhage due to arteriovenous malformation around a serous cystic neoplasm
Abstract Background No reports have so far described arteriovenous malformation (AVM) in the pancreas caused by a tumor. We herein report a case of pancreatoduodenectomy for a patient who developed duodenal hemorrhage due to AVM developed around serous cystic neoplasm (SCN) of the pancreas. Case pre...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Japan Surgical Society
2018-12-01
|
| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40792-018-0547-8 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1839596145936957440 |
|---|---|
| author | Shunsuke Tamura Yusuke Yamamoto Yukiyasu Okamura Teiichi Sugiura Takaaki Ito Ryo Ashida Katsuhisa Ohgi Nobuyuki Watanabe Keiko Sasaki Takashi Sugino Katsuhiko Uesaka |
| author_facet | Shunsuke Tamura Yusuke Yamamoto Yukiyasu Okamura Teiichi Sugiura Takaaki Ito Ryo Ashida Katsuhisa Ohgi Nobuyuki Watanabe Keiko Sasaki Takashi Sugino Katsuhiko Uesaka |
| author_sort | Shunsuke Tamura |
| collection | DOAJ |
| description | Abstract Background No reports have so far described arteriovenous malformation (AVM) in the pancreas caused by a tumor. We herein report a case of pancreatoduodenectomy for a patient who developed duodenal hemorrhage due to AVM developed around serous cystic neoplasm (SCN) of the pancreas. Case presentation A 79-year-old man was referred to our hospital because of anemia (Hb 7.4 g/dl) and pancreatic head tumor. Computed tomography showed microcystic-type SCN, 87 mm in size, in the pancreatic head. Vascular hyperplasia had developed around the cystic lesion. Upper gastrointestinal endoscopy and colonoscopy did not reveal the cause of anemia, so the patient was followed closely without hemostatic therapy. Iron preparations had improved the anemia. Three months later, the patient developed anemia (Hb 5.8 g/dl) again. Gastrointestinal endoscopy showed oozing from the mucosa in the duodenum via the swollen vascular hyperplasia. He was diagnosed as duodenal hemorrhage from the blood vessels around SCN. Pancreatoduodenectomy was performed to control repeated duodenal bleeding. A histopathological examination revealed that the cystic lesion in the pancreatic head was SCN, and the AVM developed around SCN and duodenum, causing repeated duodenal hemorrhage. The patient was discharged on postoperative day 22. Nine months after surgery, the patient had no recurrence of anemia. Conclusions There have been no reports of duodenal hemorrhage due to acquired pancreatic AVM around pancreatic tumor, including SCN. We successfully treated a case of duodenal hemorrhage due to pancreatic AVM around SCN by pancreatoduodenectomy. |
| format | Article |
| id | doaj-art-e4b29f7247534d57b61d7c27b0c205df |
| institution | Matheson Library |
| issn | 2198-7793 |
| language | English |
| publishDate | 2018-12-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-e4b29f7247534d57b61d7c27b0c205df2025-08-02T21:55:41ZengJapan Surgical SocietySurgical Case Reports2198-77932018-12-01411710.1186/s40792-018-0547-8A case of duodenal hemorrhage due to arteriovenous malformation around a serous cystic neoplasmShunsuke Tamura0Yusuke Yamamoto1Yukiyasu Okamura2Teiichi Sugiura3Takaaki Ito4Ryo Ashida5Katsuhisa Ohgi6Nobuyuki Watanabe7Keiko Sasaki8Takashi Sugino9Katsuhiko Uesaka10Department of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer CenterDepartment of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer CenterDepartment of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer CenterDepartment of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer CenterDepartment of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer CenterDepartment of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer CenterDepartment of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer CenterDepartment of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer CenterDepartment of Pathology, Shizuoka Cancer CenterDepartment of Pathology, Shizuoka Cancer CenterDepartment of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer CenterAbstract Background No reports have so far described arteriovenous malformation (AVM) in the pancreas caused by a tumor. We herein report a case of pancreatoduodenectomy for a patient who developed duodenal hemorrhage due to AVM developed around serous cystic neoplasm (SCN) of the pancreas. Case presentation A 79-year-old man was referred to our hospital because of anemia (Hb 7.4 g/dl) and pancreatic head tumor. Computed tomography showed microcystic-type SCN, 87 mm in size, in the pancreatic head. Vascular hyperplasia had developed around the cystic lesion. Upper gastrointestinal endoscopy and colonoscopy did not reveal the cause of anemia, so the patient was followed closely without hemostatic therapy. Iron preparations had improved the anemia. Three months later, the patient developed anemia (Hb 5.8 g/dl) again. Gastrointestinal endoscopy showed oozing from the mucosa in the duodenum via the swollen vascular hyperplasia. He was diagnosed as duodenal hemorrhage from the blood vessels around SCN. Pancreatoduodenectomy was performed to control repeated duodenal bleeding. A histopathological examination revealed that the cystic lesion in the pancreatic head was SCN, and the AVM developed around SCN and duodenum, causing repeated duodenal hemorrhage. The patient was discharged on postoperative day 22. Nine months after surgery, the patient had no recurrence of anemia. Conclusions There have been no reports of duodenal hemorrhage due to acquired pancreatic AVM around pancreatic tumor, including SCN. We successfully treated a case of duodenal hemorrhage due to pancreatic AVM around SCN by pancreatoduodenectomy.http://link.springer.com/article/10.1186/s40792-018-0547-8Serous cystic neoplasmArteriovenous malformationPancreasAcquiredVascular endothelial growth factor |
| spellingShingle | Shunsuke Tamura Yusuke Yamamoto Yukiyasu Okamura Teiichi Sugiura Takaaki Ito Ryo Ashida Katsuhisa Ohgi Nobuyuki Watanabe Keiko Sasaki Takashi Sugino Katsuhiko Uesaka A case of duodenal hemorrhage due to arteriovenous malformation around a serous cystic neoplasm Surgical Case Reports Serous cystic neoplasm Arteriovenous malformation Pancreas Acquired Vascular endothelial growth factor |
| title | A case of duodenal hemorrhage due to arteriovenous malformation around a serous cystic neoplasm |
| title_full | A case of duodenal hemorrhage due to arteriovenous malformation around a serous cystic neoplasm |
| title_fullStr | A case of duodenal hemorrhage due to arteriovenous malformation around a serous cystic neoplasm |
| title_full_unstemmed | A case of duodenal hemorrhage due to arteriovenous malformation around a serous cystic neoplasm |
| title_short | A case of duodenal hemorrhage due to arteriovenous malformation around a serous cystic neoplasm |
| title_sort | case of duodenal hemorrhage due to arteriovenous malformation around a serous cystic neoplasm |
| topic | Serous cystic neoplasm Arteriovenous malformation Pancreas Acquired Vascular endothelial growth factor |
| url | http://link.springer.com/article/10.1186/s40792-018-0547-8 |
| work_keys_str_mv | AT shunsuketamura acaseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT yusukeyamamoto acaseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT yukiyasuokamura acaseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT teiichisugiura acaseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT takaakiito acaseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT ryoashida acaseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT katsuhisaohgi acaseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT nobuyukiwatanabe acaseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT keikosasaki acaseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT takashisugino acaseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT katsuhikouesaka acaseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT shunsuketamura caseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT yusukeyamamoto caseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT yukiyasuokamura caseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT teiichisugiura caseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT takaakiito caseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT ryoashida caseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT katsuhisaohgi caseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT nobuyukiwatanabe caseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT keikosasaki caseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT takashisugino caseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm AT katsuhikouesaka caseofduodenalhemorrhageduetoarteriovenousmalformationaroundaserouscysticneoplasm |