A case of an intractable duodenal ulcer associated with a pancreatic arteriovenous malformation
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- INOUE Shotaro
- Department of Gastroenterology, Oita Red Cross Hospital
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- UEO Tetsuya
- Department of Gastroenterology, Oita Red Cross Hospital
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- YONEMASU Hirotoshi
- Department of Pathology, Oita Red Cross Hospital
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- ISHIDA Tetsuya
- Department of Gastroenterology, Oita Red Cross Hospital
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- FUKUDA Masahide
- Department of Gastroenterology, Oita Red Cross Hospital
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- TOGO Kazumi
- Department of Gastroenterology, Oita Red Cross Hospital
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- YANAI Yuka
- Department of Gastroenterology, Oita Red Cross Hospital
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- NAGAMATSU Hideyasu
- Department of Gastroenterology, Oita Red Cross Hospital
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- NARITA Ryoichi
- Department of Gastroenterology, Oita Red Cross Hospital
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- MURAKAMI Kazunari
- Department of Gastroenterology, Faculty of Medicine, Oita University
Bibliographic Information
- Other Title
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- 膵動静脈奇形による難治性十二指腸潰瘍の1例
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Abstract
<p>A 62-year-old man with epigastralgia was referred to our hospital for the evaluation of an intractable duodenal ulcer, which did not improve following proton pump inhibitor treatment. An upper gastrointestinal endoscopy revealed that the base of the ulcer was gray-white in color with conspicuous fibrosis tissue, unlike the appearance of common ulcers. A contrast-enhanced abdominal CT scan and angiography revealed tortuous and dilated vascular structures in the pancreatic head. This was diagnosed as a pancreatic arteriovenous malformation. We suggest that the intractable duodenal ulcer was caused by the pancreatic arteriovenous malformation. Therefore, we performed a pancreaticoduodenectomy. Pancreatic arteriovenous malformations should be considered as one of the causes of treatment-resistant duodenal ulcers.</p>
Journal
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- Nippon Shokakibyo Gakkai Zasshi
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Nippon Shokakibyo Gakkai Zasshi 114 (5), 846-853, 2017
The Japanese Society of Gastroenterology
