Document Detail

Management of a ruptured pseudoaneurysm of common hepatic artery following pancreaticoduodenectomy.
MedLine Citation:
PMID:  17982600     Owner:  NLM     Status:  MEDLINE    
Postoperative pseudoaneurysm formation is one of the most feared complications of pancreatic leak following pancreaticoduodenectomy (PD). Surgical repair may be compromised due to a persistent enzymatic insult on the repaired vessel; therefore, preventive measures should be adopted. We report a case of ruptured hepatic artery pseudoaneurysm occurring 12 days following PD in a patient with a postoperative pancreatic fistula. Emergency surgery revealed that the pseudoaneurysm was situated at the point of surgical transfixation of the gastroduodenal artery. The pseudoaneurysm was successfully managed by under-running of the bleeding point combined with the direct application of hemostatic products to the bleeding surface (TachoSil and Tisseel) to act as a barrier from the pancreatic secretions.
M Abu Hilal; M J Hallam; B A Zeidan; N W Pearce
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-10-12
Journal Detail:
Title:  TheScientificWorldJournal     Volume:  7     ISSN:  1537-744X     ISO Abbreviation:  ScientificWorldJournal     Publication Date:  2007  
Date Detail:
Created Date:  2007-11-05     Completed Date:  2007-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101131163     Medline TA:  ScientificWorldJournal     Country:  England    
Other Details:
Languages:  eng     Pagination:  1658-62     Citation Subset:  IM    
Hepato Pancreatico Biliary Surgery Unit, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK.
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MeSH Terms
Aged, 80 and over
Aneurysm, False / surgery*
Aneurysm, Ruptured / surgery*
Hepatic Artery / surgery*
Pancreaticoduodenectomy / adverse effects*

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