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Management of a ruptured pseudoaneurysm of common hepatic artery following pancreaticoduodenectomy

Management of a ruptured pseudoaneurysm of common hepatic artery following pancreaticoduodenectomy
Management of a ruptured pseudoaneurysm of common hepatic artery following pancreaticoduodenectomy
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.
pseudoaneurysm, haemorrhage, haemostatic materials, pancreaticoduodenectomy, post-operative complications
2356-6140
1658-62
Abu Hilal, Mohammed
384e1c60-8519-4eed-8e92-91775aad4c47
Hallam, M.J.
f663832e-5e15-41af-ae1b-0f5f28f9ea84
Zeidan, B.A.
acd18415-22ee-43b8-a102-a36ea22dd0af
Pearce, N.W.
6134a6e9-897c-4607-b17b-a32bdf7a43c3
Abu Hilal, Mohammed
384e1c60-8519-4eed-8e92-91775aad4c47
Hallam, M.J.
f663832e-5e15-41af-ae1b-0f5f28f9ea84
Zeidan, B.A.
acd18415-22ee-43b8-a102-a36ea22dd0af
Pearce, N.W.
6134a6e9-897c-4607-b17b-a32bdf7a43c3

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. The Scientific World Journal, 7, 1658-62. (doi:10.1100/tsw.2007.249). (PMID:17982600)

Record type: Article

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.

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Published date: 2007
Keywords: pseudoaneurysm, haemorrhage, haemostatic materials, pancreaticoduodenectomy, post-operative complications

Identifiers

Local EPrints ID: 172249
URI: http://eprints.soton.ac.uk/id/eprint/172249
ISSN: 2356-6140
PURE UUID: 71530e57-d292-4bf7-b31a-ac9764484bef

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Date deposited: 25 Jan 2011 09:21
Last modified: 14 Mar 2024 02:28

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Contributors

Author: Mohammed Abu Hilal
Author: M.J. Hallam
Author: B.A. Zeidan
Author: N.W. Pearce

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