PMID- 20530931 OWN - NLM STAT- MEDLINE DCOM- 20100803 LR - 20200928 IS - 0446-6586 (Print) IS - 0446-6586 (Linking) VI - 107 IP - 6 DP - 2010 Jun TI - [A case of pancreatic arteriovenous malformation creating a common bile duct-duodenal fistula with the onset of hemorrhagic duodenal ulcer]. PG - 937-47 AB - A 50-year-old man had been treated for hemorrhagic duodenal ulcer. Although the patient was treated by proton pump inhibitors (PPI), the ulcer did not show any sign of improvement. Therefore, we also examined the pancreas, and obtained CT findings suggestive of arteriovenous malformation (AVM) from the head to the body of the pancreas. Pancreatic AVM was diagnosed based on angiography. He was readmitted for high fever and abdominal pain. On day 2, CT demonstrated a cystic lesion containing gas at the pancreatic head, and CT showed pneumobilia on day 15. The next day, pancreaticoduodenectomy was carried out and a common bile duct-duodenal fistula was confirmed. This report describes a rare case of pancreatic AVM complicated with a common bile duct-duodenal fistula. FAU - Suzuki, Takahisa AU - Suzuki T AD - Department of Gastroenterology, Toyota Memorial Hospital, Japan. takahisa@mail.toyota.co.jp FAU - Shinoda, Masataka AU - Shinoda M FAU - Takashi, Hitomi AU - Takashi H FAU - Murayama, Mutsumi AU - Murayama M FAU - Uchiyama, Isako AU - Uchiyama I FAU - Morise, Kazuhiro AU - Morise K FAU - Usami, Akihisa AU - Usami A FAU - Tsuji, Hideki AU - Tsuji H FAU - Tashiro, Kazuhiro AU - Tashiro K FAU - Ando, Takafumi AU - Ando T FAU - Goto, Hidemi AU - Goto H LA - jpn PT - Case Reports PT - English Abstract PT - Journal Article PT - Review PL - Japan TA - Nihon Shokakibyo Gakkai Zasshi JT - Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology JID - 2984683R SB - IM MH - Arteriovenous Malformations/*complications MH - Biliary Fistula/*etiology MH - Common Bile Duct Diseases/*etiology MH - Duodenal Diseases/*etiology MH - Duodenal Ulcer/*etiology MH - Gastrointestinal Hemorrhage/*etiology MH - Humans MH - Intestinal Fistula/*etiology MH - Male MH - Middle Aged MH - Pancreas/*blood supply RF - 34 EDAT- 2010/06/10 06:00 MHDA- 2010/08/04 06:00 CRDT- 2010/06/10 06:00 PHST- 2010/06/10 06:00 [entrez] PHST- 2010/06/10 06:00 [pubmed] PHST- 2010/08/04 06:00 [medline] AID - JST.JSTAGE/nisshoshi/107.937 [pii] PST - ppublish SO - Nihon Shokakibyo Gakkai Zasshi. 2010 Jun;107(6):937-47.