Pseudoaneurysm of the splenic artery : an uncommon cause of delayed hemorrhage after pancreaticoduodenectomy :an uncommon cause of delayed hemorrhage after pancreaticoduodenectomy

Radu Dumitru; Ana Carbunaru; Mugur Grasu; Mihai Toma; Mihnea Ionescu; Traian Dumitrascu

추천

검색

질문

자료유형: 학술저널

저자정보: Radu Dumitru (Fundeni Clinical Institute) Ana Carbunaru (Fundeni Clinical Institute) Mugur Grasu (Fundeni Clinical Institute) Mihai Toma (Fundeni Clinical Institute) Mihnea Ionescu (Fundeni Clinical Institute) Traian Dumitrascu (Fundeni Clinical Institute)

저널정보: 한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제20권 제4호

발행연도: 2016.11

수록면: 204 - 210 (7page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Delayed post-pancreatectomy hemorrhage (PPH) is a relatively uncommon, but feared, complication after pancreaticoduodenectomy (PD). A splenic artery pseudoaneurysm is a rare cause of delayed PPH after a PD. This paper describes the case of a patient with PD used to treat a distal bile duct cholangiocarcinoma complicated with a clinically significant pancreatic fistula and secondary intraabdominal abscess. Computed tomography-guided drainage of the abscess was performed with an apparently favourable outcome; the patient was discharged on postoperative day (POD) 35 and the abdominal drains were removed on POD 50. On POD 80, the patient was readmitted for a severe digestive hemorrhage. Computed tomography revealed a pseudoaneurysm of the splenic artery with a subsequent hematoma formation. Immediately, an angiography was performed and coils were successfully mounted. This case illustrates the rare possibility of the development of a splenic artery pseudoaneurysm with severe delayed PPH after PD complicated with a clinically significant pancreatic fistula, even after the patient was discharged from the hospital. An interventional radiology approach represents the first treatment option in hemodynamically stable patients with high success rates.

#Pancreaticoduodenectomy #Pancreatic fistula #Delayed hemorrhage #Splenic artery pseudoaneurysm #Interventional angiography

참고문헌 (0)

참고문헌 신청

참고문헌이 DBpia에서 서비스 중이라면, [참고문헌 신청]을 통해 등록해보세요

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!