Biliary Ischemia Following Embolization of a Pseudoaneurysm After Pancreaticoduodenectomy
Overview
Affiliations
Aim: To report an uncommon consequence of hepatic artery occlusion in the management of a bleeding pseudoaneurysm following pancreaticoduodenectomy.
Imaging: Analysis of a case involving a single patient in which a bleeding pseudoaneurysm of the gastroduodenal arterial stump following pancreaticoduodenectomy was treated by transcatheter arterial embolization.
Case Report: Effective hemostasis necessitated interruption of the hepatic arterial flow and was complicated by biliary ischemia and intrahepatic biloma.
Brodie B, Kocher H BJS Open. 2019; 3(6):735-742.
PMID: 31832579 PMC: 6887902. DOI: 10.1002/bjs5.50210.
Asano T, Nakamura T, Noji T, Okamura K, Tsuchikawa T, Nakanishi Y Langenbecks Arch Surg. 2018; 403(2):195-202.
PMID: 29362881 DOI: 10.1007/s00423-018-1650-9.
Systematic review of delayed postoperative hemorrhage after pancreatic resection.
Roulin D, Cerantola Y, Demartines N, Schafer M J Gastrointest Surg. 2011; 15(6):1055-62.
PMID: 21267670 DOI: 10.1007/s11605-011-1427-8.
Tanaka K, Ohigashi H, Takahashi H, Gotoh K, Yamada T, Miyashiro I World J Gastrointest Surg. 2010; 2(9):295-8.
PMID: 21160899 PMC: 2999694. DOI: 10.4240/wjgs.v2.i9.295.
Sanada Y, Kondo H, Goshima S, Kanematsu M, Tanaka Y, Tokuyama Y Case Rep Med. 2010; 2010:280430.
PMID: 20589213 PMC: 2892662. DOI: 10.1155/2010/280430.