| Autor: |
Thanh Huu Nguyen, Lam Tung Tran, Binh Canh Nguyen, Nga Thi Dinh, Hoai Thu Mai, Quang Ngoc Minh Pham, Linh Van Ho, Thai Doan Ky, Tung Lam Nguyen |
| Předmět: |
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| Zdroj: |
American Journal of Case Reports; 11/23/2023, Vol. 24, p1-5, 5p |
| Abstrakt: |
Objective: Rare disease Background: Arteriovenous malformation is an unusual cause of gastrointestinal bleeding, particularly in the pancreas. A definitive treatment strategy is not yet established. Case Report: We present the case of a 37-year-old man with underlying hypertension and no significant family history who presented with a 3-month history of intermittent epigastric pains and unintentional weight loss of 5 kg in 2 months. The upper endoscopy showed a large duodenal ulcer, which was uncontrolled with a standard dose of proton pump inhibitors. An abdominal computed tomography scan with contrast was indicated and revealed an enhanced mass of 2.5×3.5×4 cm in size, located on the second and third parts of the duodenum and head of the pancreas, indicating an arteriovenous malformation. On day 10 of hospitalization, the patient suddenly had melena and a drop of hemoglobin level to 5.6 g/dL; angiography intervention was successful to control the bleeding. However, gastrointestinal bleeding recurred after 2 weeks, and the patient successfully underwent a Whipple procedure. Conclusions: The diagnosis and therapeutic management of arteriovenous malformations are uniquely challenging; therefore, pancreatic arteriovenous malformations should be listed on the differential diagnosis, particularly in those cases with non-healing and large duodenal ulcers. Otherwise, early imaging modalities should be performed to confirm the diagnosis. In particular, angiography can temporarily control bleeding before proceeding with more definitive therapy. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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