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Case Reports
. 2017 Jun;43(3):307-311.
doi: 10.1007/s00068-016-0672-7. Epub 2016 Apr 21.

Acute bleeding from pseudoaneurysms following liver and pancreatobiliary surgery

A Sanchez Arteaga  1 , M I Orue-Echebarria  2 , L Zarain  1 , A Lusilla  1 , C M Martinez  1 , A Moreno  1 , M Cuadrado  1 , C Rey  1 , M D Perez Diaz  1 , M G Leyte  1 , F J Turégano  1
Affiliations
Case Reports

Acute bleeding from pseudoaneurysms following liver and pancreatobiliary surgery

A Sanchez Arteaga et al. Eur J Trauma Emerg Surg. 2017 Jun.

Abstract

Purpose: We report 12 patients with visceral PA following pancreato-biliary and hepatic surgery.

Results: Seven patients (7/11, 63 %) had developed postoperative complications from their original procedure; that information was missing in one patient. Bleeding occurred in eight (three with hemoperitoneum two with haemobilia, and three with GI bleeding through a biliary-enteric anastomosis), three were asymptomatic, and the other one presented with abdominal pain. Eleven patients had an interventional radiology procedure performed (Five underwent angioembolization, a stent was placed in four, and two patients underwent both procedures). Complications related to the procedure developed in 6 (54.5 %) patients, and surgery was required in four of them.

Conclusion: Postoperative pseudoaneurysms (PA) of visceral arteries are rare and usually secondary to vascular injury after pancreato-biliary and liver surgery. They usually present with bleeding and nowadays most are amenable to initial control by interventional radiology.

Keywords: Angioembolization; Gastrointestinal bleeding; Haemobilia; Hemoperitoneum; Hepatic artery; Pseudoaneurysm.

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References

    1. HPB (Oxford). 2006;8(6):458-64 - PubMed
    1. Am J Surg. 2010 Jan;199(1):e10-1 - PubMed
    1. J Trauma Manag Outcomes. 2014 Nov 14;8:18 - PubMed
    1. J Surg Case Rep. 2015 Feb 08;2015(2):null - PubMed
    1. Surg Today. 2005;35(7):543-7 - PubMed

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