Management of a ruptured pseudoaneurysm of common hepatic artery following pancreaticoduodenectomy
Abu Hilal, Mohammed, Hallam, M.J., Zeidan, B.A. and Pearce, N.W. (2007) Management of a ruptured pseudoaneurysm of common hepatic artery following pancreaticoduodenectomy. Scientific World Journal, 7, 1658-62. (doi:10.1100/tsw.2007.249). (PMID:17982600).
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Description/Abstract
Postoperative pseudoaneurysm formation is one of the most feared complications of pancreatic leak following pancreaticoduodenectomy (PD). Surgical repair may be compromised due to a persistent enzymatic insult on the repaired vessel; therefore, preventive measures should be adopted. We report a case of ruptured hepatic artery pseudoaneurysm occurring 12 days following PD in a patient with a postoperative pancreatic fistula. Emergency surgery revealed that the pseudoaneurysm was situated at the point of surgical transfixation of the gastroduodenal artery. The pseudoaneurysm was successfully managed by under-running of the bleeding point combined with the direct application of hemostatic products to the bleeding surface (TachoSil and Tisseel) to act as a barrier from the pancreatic secretions.
| Item Type: | Article |
|---|---|
| ISSNs: | 1537-744X (electronic) |
| Keywords: | pseudoaneurysm, haemorrhage, haemostatic materials, pancreaticoduodenectomy, post-operative complications |
| Subjects: | H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management R Medicine > RD Surgery |
| Divisions: | University Structure - Pre August 2011 > School of Medicine |
| Item ID: | 172249 |
| Date Deposited: | 25 Jan 2011 09:21 |
| Last Modified: | 02 Mar 2012 12:55 |
| Contributors: | Abu Hilal, Mohammed (Author) Hallam, M.J. (Author) Zeidan, B.A. (Author) Pearce, N.W. (Author) |
| Date: | 2007 |
| Status: | Published |
| URI: | http://eprints.soton.ac.uk/id/eprint/172249 |
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