| Arterial hemorrhage by pseudoaneurysms following pancreatoduodenectomy. | |
MedLine Citation:
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PMID: 15532840 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Experienced centers report reduced operative mortality after pancreatoduodenectomy for cancer, but significant complications continue to occur in as many as 25% of patients. Anastomotic disruption leads to sepsis in the pancreatic bed where major vascular structures have been exposed by regional lymphadenectomy, creating a setting for arterial erosion or ligature slough and massive hemorrhage. Dehiscence of the pancreatojejunostomy is a particular risk. We presented one patient with arterial hemorrhage from visceral artery pseudoaneurysm after pancreatoduodenectomy, who had had sentinel bleeding from the abdominal drains or gastrointestinal tract. Sentinel bleeding after pancreatoduodenectomy indicates local sepsis and probable anastomotic dehiscence. Recognition of its significance and prompt response may prevent exsanguination. |
Authors:
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Naoki Hashimoto; Seiji Haji; Hideaki Nomura; Mitio Kato; Harumasa Ohyanagi |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Hepato-gastroenterology Volume: 51 ISSN: 0172-6390 ISO Abbreviation: Hepatogastroenterology Publication Date: 2004 Nov-Dec |
Date Detail:
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Created Date: 2004-11-09 Completed Date: 2005-02-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8007849 Medline TA: Hepatogastroenterology Country: Greece |
Other Details:
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Languages: eng Pagination: 1847-8 Citation Subset: IM |
Affiliation:
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Second Department of Surgery, Kinki University School of Medicine, Osaka Sayama, Osaka, Japan. Hashiline@aol.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adenocarcinoma
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pathology,
surgery* Aneurysm, False / etiology*, radiography, therapy Angiography Embolization, Therapeutic / methods Follow-Up Studies Gastrointestinal Hemorrhage / etiology*, radiography, therapy Humans Male Middle Aged Pancreatic Neoplasms / pathology, surgery* Pancreaticoduodenectomy / adverse effects*, methods Postoperative Complications / radiography, surgery Risk Assessment |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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