Pancreatic arteriovenous malformation involving the duodenum embolized with ethylene-vinyl alcohol copolymer (Onyx)

Cardiovasc Intervent Radiol. 2012 Aug;35(4):958-62. doi: 10.1007/s00270-011-0272-1. Epub 2011 Sep 28.

Abstract

Arteriovenous malformation (AVM) of the pancreas is a rare condition. Most patients are asymptomatic or alternatively may present with a wide spectrum of symptoms. Traditionally, surgery has been considered the treatment of choice; however, alternative approaches, such as transcatheter embolization (TAE), may be proposed. We report a case of a 48-year-old man with a pancreatic head AVM, presenting with upper abdominal pain and slight anemia. The patient refused surgery and underwent TAE by means of ethylene-vinyl alcohol copolymer (EVOH). At 3 months follow-up, the patient was able to eat regularly, with no residual pain and no signs of anemia.

Publication types

  • Case Reports

MeSH terms

  • Angiography
  • Arteriovenous Malformations / diagnosis
  • Arteriovenous Malformations / therapy*
  • Contrast Media
  • Duodenum / blood supply*
  • Embolization, Therapeutic / methods*
  • Endoscopy, Digestive System
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Pancreas / blood supply*
  • Polyvinyls / administration & dosage*
  • Tomography, X-Ray Computed
  • Ultrasonography, Interventional

Substances

  • Contrast Media
  • Polyvinyls
  • ethylene-vinyl alcohol copolymer