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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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.
|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
|Date Deposited:||25 Jan 2011 09:21|
|Last Modified:||27 Mar 2014 19:20|
|RDF:||RDF+N-Triples, RDF+N3, RDF+XML, Browse.|
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