저자들은 조영증강 복부 전산화단층촬영과 혈관조영술로 급성췌장염이 동반된 췌장의 동정맥 기형을 진단하였고 수술적 절제로 치료된 45세 남성의 예를 경험하였다. 췌장의 동정맥 기형은 매우 드문 질환이며 췌장염이 동반된 것은 더 드물다고 알려져 있다. 그러나 췌장의 동정맥 기형도 급성췌장염의 한가지 원인이 될 수 있음을 고려해야 한다.
Arteriovenous malformation (AVM) of the pancreas is exceedingly rare, although it may be increasingly diagnosed due to the widespread use of cross-sectional imaging of the abdomen; even rarer is its association with pancreatitis. A 45-year-old male was admitted to our hospital with symptom of epigastric pain. Dynamic contrast imaging scans of the abdomen showed a focal acute pancreatitis and pancreatic AVM. The angiography findings were compatible with pancreatic AVM. The cause of abdominal pain was diagnosed by acute pancreatitis caused by pancreatic AVM, and, for definitive treatment of symptomatic pancreatic AVM, distal pancreatectomy with splenectomy was performed. The histological results confirmed the presence of irregular dilated tortuous arteries and veins, and a retention cyst with epithelial cell lining. We experienced a rare case of a 45-year-old-Korean male who had acute pancreatitis associated with pancreatic AVM. Pancreatic AVM is extremely rare; even rarer is its association with pancreatitis.