Delayed rupture of a splenic artery pseudoaneurysm after biliopancreatic diversion

被引：11

作者：

Upadhyaya, Prashant K. ^{[1
]}

Chava, Soujanya ^{[2
]}

Bin-Sangheer, Syed ^{[3
]}

Sudan, Ranjan ^{[1
]}

Mittal, Sumeet K. ^{[1
]}

Cemaj, Samuel ^{[1
]}

机构：

[1] Creighton Univ, Dept Surg, Omaha, NE 68131 USA

[2] Creighton Univ, Dept Int Med & Gastroenterol, Omaha, NE 68131 USA

[3] Creighton Univ, Dept Gastroenterol, Omaha, NE 68131 USA

来源：

OBESITY SURGERY | 2008年 / 18卷 / 07期

关键词：

pseudoaneurysm; splenic; iatrogenic; bariatric surgery;

D O I：

10.1007/s11695-007-9411-9

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Splenic artery pseudoaneurysm (SAP) is a known but rare complication of pancreatitis and blunt abdominal trauma. SAP caused by operative trauma has been rarely reported. We present a patient who presented with massive upper gastrointestinal (GI) bleed in shock. On exploratory laparotomy, a SAP was diagnosed. He must have sustained injury to his splenic artery while undergoing reinforcement of sleeve gastrectomy during an open biliary pancreatic diversion procedure 2 years back. Alternatively, the prolene suture might have eroded into the splenic artery to cause the SAP. Literature on iatrogenic SAP is reviewed. SAP should be considered in patients with history of foregut surgery with GI bleed and equivocal endoscopic findings.

引用

页码：890 / 892

页数：3

共 15 条

[1] Systematic appraisal of the management of the major vascular complications of pancreatitis [J].