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ScientificWorldJournal. 2007 Oct 12;7:1658-62.

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

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1
Hepato Pancreatico Biliary Surgery Unit, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK. Mohammed.AbuHilal@suht.swest.ac.uk

Abstract

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.

PMID:
17982600
DOI:
10.1100/tsw.2007.249
[Indexed for MEDLINE]
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