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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 The Scientific World Journal, 7, pp. 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: 18 Jul 2017 12:14

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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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