Delayed rupture of a pseudoaneurysm following pancreatoduodenectomy: Report of a case

被引:32
作者
Sugimoto, H
Kaneko, T
Ishiguch, T
Takai, K
Ohta, T
Yagi, Y
Inoue, S
Takeda, S
Nakao, A
机构
[1] Nagoya Univ, Sch Med, Dept Surg 2, Showa Ku, Nagoya, Aichi 4668550, Japan
[2] Nagoya Univ, Sch Med, Dept Radiol, Showa Ku, Nagoya, Aichi 4668550, Japan
关键词
pancreatoduodenectomy; color Doppler ultrasonography; pseudoaneurysm; transcatheter arterial embolization;
D O I
10.1007/s005950170039
中图分类号
R61 [外科手术学];
学科分类号
摘要
We report herein the case of a 63-year-old man in whom delayed rupture of a pseudoaneurysm occurred 120 days following pancreatoduodenectomy. Color Doppler examination indicated a pseudoaneurysm originating from the ligated gastroduodenal artery. Transcatheter arterial embolization was done at the common hepatic artery, proximal and distal to the pseudoaneurysm, with microcoils. The patient had a minor elevation of liver enzymes, which subsequently returned to normal. Due to the absence of any postoperative complications such as pancreatic anastomotic leakage, we assumed that the pseudoaneurysm formation had been caused by a weakness in the arterial wall according to skeletonization resulting from lymphadenectomy and intraoperative radiation therapy. To our knowledge, this case represents the longest interval between pancreatoduodenectomy and rupture of a pseudoaneurysm ever to be reported in the literature.
引用
收藏
页码:932 / 935
页数:4
相关论文
共 7 条
[1]   Successful nonoperative management of bleeding hepatic artery pseudoaneurysm following pancreaticoduodenectomy [J].
Aranha, GV ;
O'Neil, S ;
Borge, MA .
DIGESTIVE SURGERY, 1999, 16 (06) :528-530
[2]  
Furukawa H, 1997, HEPATO-GASTROENTEROL, V44, P849
[3]  
Machida H, 1990, Nihon Geka Gakkai Zasshi, V91, P705
[4]  
Reber PU, 1998, SURGERY, V124, P114
[5]   Hemorrhage after pancreatoduodenectomy [J].
Rumstadt, B ;
Schwab, M ;
Korth, P ;
Samman, M ;
Trede, M .
ANNALS OF SURGERY, 1998, 227 (02) :236-241
[6]  
Sarr MG, 1998, SURGERY, V124, P116
[7]   THE COMPLICATIONS OF PANCREATECTOMY [J].
TREDE, M ;
SCHWALL, G .
ANNALS OF SURGERY, 1988, 207 (01) :39-47