Cephalic Pancreaticoduodenectomy for Bleeding Duodenal Arteriovenous Malformation

Abstract Introduction  Treatment of recurrent severe gastrointestinal bleeding due to arteriovenous malformations may require complex resections. In some particular locations, extensive surgery is the only way out, as shown in this report. Case Report  A 2.5-year-old child suffered repeated episodes...

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Bibliographic Details
Published in:European journal of pediatric surgery reports 2014-06, Vol.2 (1), p.013-015
Main Authors: Ortiz, Ruben, Dominguez, Eva, Barrena, S., Martinez, Leopoldo, Prieto, Gerardo, Burgos, Emilio, Tovar, Juan Antonio
Format: Article
Language:English
Subjects:
arteriovenous malformation
Case Report
gastrointestinal bleeding
pancreaticoduodenectomy
vascular malformation
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Summary:Abstract Introduction  Treatment of recurrent severe gastrointestinal bleeding due to arteriovenous malformations may require complex resections. In some particular locations, extensive surgery is the only way out, as shown in this report. Case Report  A 2.5-year-old child suffered repeated episodes of upper gastrointestinal bleeding since the first month of life. After an extensive diagnostic workout, the diagnosis of duodenal arteriovenous malformation was established. Cephalic pancreaticoduodenectomy with pyloric preservation was performed and no further episodes of bleeding occurred in the ensuing 2 years. Conclusion  Bleeding malformations located in the pancreaticoduodenal area can be effectively treated in children by pylorus-preserving cephalic pancreaticoduodenectomy.
ISSN:2194-7619
2194-7627
DOI:10.1055/s-0033-1357263