2022, Number 3
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Mul Med 2022; 26 (3)
Incidental Diagnosis of Pancreatic Vascular Malformation in patients with abdominal pain. Clinical-Radiological Case
Sosa FA, Verdecía GRR, Figueredo MAE
Language: Spanish
References: 16
Page:
PDF size: 366.12 Kb.
ABSTRACT
Imaging studies allow a global assessment of the abdominal cavity. Intra-abdominal vascular malformations are rare entities, most of which are asymptomatic. The use of diagnostic imaging technique in the detection of an asymptomatic arterio-venous malformation of the pancreas in a patient with other symptoms is exposed. 31-year-old Kenyan patient who came to the emergency department at the Cuban Hospital in Qatar with pain in the lower abdomen and right iliac fossa (RIF), peritoneal reaction, negative leukogram and elevated C-reactive protein. Gynecological, gastrointestinal and urinary pathologies were ruled out. An ultrasound and later CT abdominal-pelvic with intravenous contrast (IV) were indicated, which demonstrated subserous uterine myoma and hyper-vascularized tumor image in the uncinate process of pancreas, compatible with arterio-venous malformation. She was referred to the specialties of gynecology, surgery and gastroenterology. We suggest always keeping in mind rare diseases during common pathologies. Publish images of rare pathologies, offers a comparison pattern for future diagnoses.
REFERENCES
Betancourt R, Salazar JP, Brinkmann M, Quezada R. Dolor Abdominal en Urgencias. Rev Hosp Clín Univ Chile 2013; 25: 232-8.
Sosa Frías A, Tamphy K. Hallazgos patológicos en pacientes con apendicitis aguda atendidos en el hospital cubano en Catar. Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta. [Internet]. 2020 [citado 2/06/2022]; 45(3). Disponible en: http://revzoilomarinello.sld.cu/index.php/zmv/article/download/2116/pdf_6832. .
Sosa Frías A, Franco Ceruto F, Figueredo Molina AE. Incidentaloma Pancreático, tumor poco común. Presentación de un Caso. Multimed. 2019; 23(6): 1403-15.
García Mónaco R, Kreindel T, Giachetti A. Malformaciones vasculares: claves diagnósticas para el radiólogo. Revista Argentina de Radiología. 2012; 76(4):301-13.
Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med. 1986; 15(5): 557-64.
Thompson JP. Mimickers of Acute Appendicitis. J Am Osteopath Coll Radiol. 2014; 3(4):10-21.
Sosa Frías A, Vergara Santos A. Variables Tomográficas Predictora de Apendicitis Aguda. Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta. [Internet]. 2021 [citado 2/06/2022]; 46(1). Disponible en: http://revzoilomarinello.sld.cu/index.php/zmv/article/download/2485/pdf_7547. .
Duhan N. Current and emerging treatments for uterine myoma - an update. Int J Womens Health. 2011; 3: 231-41.
Donnez J, Dolmans MM. Uterine fibroid management: from the present to the future. Hum Reprod Update. 2016; 22(6): 665-86.
El-Balat A, DeWilde RL, Schmeil I, Tahmasbi Rad M, Bogdanyova S, Fathi A, Becker S. Modern Myoma Treatment in the Last 20 Years: A Review of the Literature. Biomed Res Int. 2018; (2018): 4593875.
Sepulveda J, Alarcon MA. Manejo médico de la miomatosis uterina. Revisión de la literature. Rev Chil Obstet Ginecol. 2016; 81(1): 48-55.
Kohan G, Provenzano M, Rosado M, Farfan G, Sánchez N, Fastman D. Malformación arteriovenosa pancreática como causa de pancreatitis aguda tratada por vía endovascular. Medicina (B. Aires). 2017; 77(6): 506-8.
Martínez Moreno E, Fernández Lazo AB. Pancreatitis aguda secundaria a malformación arteriovenosa. Gastroenterología y Hepatología. 2016; 39(4):276-7.
Abe T, Suzuki N, Haga J, Azami A, Todate Y, Waragai M, et al. Arteriovenous malformation of the pancreas: a case report. Surg Case Rep. [Internet]. 2016 [Citado 2/06/2022]; 2(6). Disponible en: https://surgicalcasereports.springeropen.com/track/pdf/10.1186/s40792-016-0133-x.pdf14. .
Mandip KC, Trikudanathan G. A case of pancreatic arteriovenous malformation presenting with abdominal pain. Gastroenterol Hepatol Open Access. 2018; 9(5):172-3.
Charalabopoulos A, Macheras N, Krivan S, Petropoulos K, Misiakos E, Macheras A. Arteriovenous Malformation of the Pancreas. Case Reports in Medicine. [Internet]. 2011[Citado 2/11/2020]. Disponible en: https://downloads.hindawi.com/journals/crim/2011/612657.pdf16.