Use of a stent graft for bleeding hepatic artery pseudoaneurysm following pancreaticoduodenectomy

Asian J Surg. 2006 Oct;29(4):283-6. doi: 10.1016/S1015-9584(09)60103-2.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False / complications
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / surgery*
  • Angiography
  • Follow-Up Studies
  • Hepatic Artery* / diagnostic imaging
  • Humans
  • Liver Abscess / complications
  • Liver Abscess / diagnostic imaging
  • Liver Abscess / surgery
  • Male
  • Melena / etiology*
  • Middle Aged
  • Pancreaticoduodenectomy*
  • Postoperative Complications*
  • Radiography, Abdominal
  • Stents*
  • Time Factors
  • Tomography, X-Ray Computed