Document Detail

Successful embolization of pancreaticoduodenal artery pseudoaneurysm in a patient with common hepatic arterial occlusion after modified pancreatoduodenectomy with preservation of arteries in the head of pancreas.
MedLine Citation:
PMID:  19453067     Owner:  NLM     Status:  MEDLINE    
Pancreaticoduodenectomy (PD) with preservation of the arcade in the head of the pancreas was performed in a 73-year-old male with ampullary adenocarcinoma associated with occlusion of the common hepatic artery (CHA) in another hospital. He developed active bleeding from his drain site, at 18 days after the operation. He was transferred to our hospital for emergent embolization. Celiac arteriogram showed complete occlusion of the CHA, posterior superior pancreaticoduodenal artery (PSPDA) pseudoaneurysm 1.7 cm in diameter and development of an enlarged tortuous dorsal pancreatic artery (DPA), posterior pancreatico-duodenal artery (PPDA), and gastroduodenal artery (GDA). Complete hemostasis was obtained without major complications by the transcatheter arterial embolization (TAE) with microcoils.
Masanari Nonokuma; Masatoshi Okazaki; Hideyuki Higashibara; Shiro Kimura; Shinichi Kora; Hiroshi Urakawa; Yoshinobu Shinagawa; Akinobu Osame; Toshiyuki Ueki; Toshimichi Nakayama
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  56     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    2009 Jan-Feb
Date Detail:
Created Date:  2009-05-20     Completed Date:  2009-06-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  245-8     Citation Subset:  IM    
Department of Radiology, Fukuoka University Hospital, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan.
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MeSH Terms
Adenocarcinoma, Papillary / radiography,  therapy*
Aneurysm, False / radiography,  therapy*
Arterial Occlusive Diseases / radiography,  therapy*
Duodenum / blood supply*,  radiography
Embolization, Therapeutic*
Fatal Outcome
Hepatic Artery*
Pancreas / blood supply*,  radiography
Pancreatic Neoplasms / radiography,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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