A CASE OF PANCREATIC ARTERIOVENOUS MALFORMATION (AVM) VITH DUODENAL BLEENING SUCCESSFULLY TREATED BY TRANSCATHETER ARTERIAL EMBOLIZATION (TAE)

Abstract

We present a rare case of pancreatic AVM successfully treated by TAE. A 60-year-old man presented wity melena. He had been previously treated by endoscopic variceal ligation followed by endoscopic injection sclerotherapy and esophageal transection for repeated ruptures of esophageal varices. Duodenoscopy showed active bleeding from the base of the ampulla of Vater, Angiographic examination showed AVM in the pancreatic head and tail. Since the patient suffered from hepatic encephalopathy due to liver cirrhosis, open surgery could not be performed and TAE wsa selected, TAE resulted in the disappearance of AVM and the clinical course was uneventful, with no recurrence of gastrointestinal bleeding.