Asian Journal of Surgery

Asian Journal of Surgery

Volume 29, Issue 4, October 2006, Pages 283-286
Asian Journal of Surgery

Case Report
Use of a Stent Graft for Bleeding Hepatic Artery Pseudoaneurysm Following Pancreaticoduodenectomy

https://doi.org/10.1016/S1015-9584(09)60103-2Get rights and content
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Although uncommon, bleeding following pancreaticoduodenectomy is associated with high mortality. Management generally includes surgical reexploration or, alternatively, transarterial embolization. We report the case of a 62-year-old man who presented with massive upper gastrointestinal bleeding 3 weeks after pancreaticoduodenectomy. Selective coeliac angiography revealed a large pseudoaneurysm involving the proper hepatic artery. This was treated successfully with a stent graft. There was no recurrence of bleeding at the 6-month follow-up. To our knowledge, this is the first report of stent graft repair of bleeding hepatic artery pseudoaneurysm following pancreaticoduodenectomy.

Key Words

pancreaticoduodenectomy
pseudoaneurysm
stent graft

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This case study was presented at the 8th Congress of the Asian Society of Hepatobiliary Pancreatic Surgery, 13 February 2005, in Quezon City, Philippines.