Send to

Choose Destination
See comment in PubMed Commons below
ScientificWorldJournal. 2007 Oct 12;7:1658-62.

Management of a ruptured pseudoaneurysm of common hepatic artery following pancreaticoduodenectomy.

Author information

Hepato Pancreatico Biliary Surgery Unit, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK.


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.

[Indexed for MEDLINE]
Free full text
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Hindawi Publishing Corporation
    Loading ...
    Support Center