Document Detail


Arterial hemorrhage by pseudoaneurysms following pancreatoduodenectomy.
MedLine Citation:
PMID:  15532840     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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:
Naoki Hashimoto; Seiji Haji; Hideaki Nomura; Mitio Kato; Harumasa Ohyanagi
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  51     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    2004 Nov-Dec
Date Detail:
Created Date:  2004-11-09     Completed Date:  2005-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  1847-8     Citation Subset:  IM    
Affiliation:
Second Department of Surgery, Kinki University School of Medicine, Osaka Sayama, Osaka, Japan. Hashiline@aol.com
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MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma / 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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