Management of a Ruptured Pseudoaneurysm of Common Hepatic Artery Following Pancreaticoduodenectomy

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...

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Main Authors: M. Abu-Hilal, M. J. Hallam, B. A. Zeidan, N. W. Pearce
Format: Article
Language:English
Published: Wiley 2007-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/tsw.2007.249
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author M. Abu-Hilal
M. J. Hallam
B. A. Zeidan
N. W. Pearce
author_facet M. Abu-Hilal
M. J. Hallam
B. A. Zeidan
N. W. Pearce
author_sort M. Abu-Hilal
collection DOAJ
description 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 (TachoSilTM and TisseelTM to act as a barrier from the pancreatic secretions.
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institution Kabale University
issn 1537-744X
language English
publishDate 2007-01-01
publisher Wiley
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series The Scientific World Journal
spelling doaj-art-850cc8ef4ff348cf896c2c987b2a52ec2025-02-03T01:31:03ZengWileyThe Scientific World Journal1537-744X2007-01-0171659166210.1100/tsw.2007.249Management of a Ruptured Pseudoaneurysm of Common Hepatic Artery Following PancreaticoduodenectomyM. Abu-Hilal0M. J. Hallam1B. A. Zeidan2N. W. Pearce3Hepato Pancreatico Biliary Surgery Unit, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UKHepato Pancreatico Biliary Surgery Unit, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UKHepato Pancreatico Biliary Surgery Unit, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UKHepato Pancreatico Biliary Surgery Unit, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UKPostoperative 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 (TachoSilTM and TisseelTM to act as a barrier from the pancreatic secretions.http://dx.doi.org/10.1100/tsw.2007.249
spellingShingle M. Abu-Hilal
M. J. Hallam
B. A. Zeidan
N. W. Pearce
Management of a Ruptured Pseudoaneurysm of Common Hepatic Artery Following Pancreaticoduodenectomy
The Scientific World Journal
title Management of a Ruptured Pseudoaneurysm of Common Hepatic Artery Following Pancreaticoduodenectomy
title_full Management of a Ruptured Pseudoaneurysm of Common Hepatic Artery Following Pancreaticoduodenectomy
title_fullStr Management of a Ruptured Pseudoaneurysm of Common Hepatic Artery Following Pancreaticoduodenectomy
title_full_unstemmed Management of a Ruptured Pseudoaneurysm of Common Hepatic Artery Following Pancreaticoduodenectomy
title_short Management of a Ruptured Pseudoaneurysm of Common Hepatic Artery Following Pancreaticoduodenectomy
title_sort management of a ruptured pseudoaneurysm of common hepatic artery following pancreaticoduodenectomy
url http://dx.doi.org/10.1100/tsw.2007.249
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