[Acute upper gastrointestinal hemorrhage as a complication of hepatic artery port catheter].
We report a case of a 56-year-old patient with an acute upper gastrointestinal bleeding following penetration of an aneurysm of the gastroduodenal artery in the duodenal bulb. The patient received an i.a. portsystem five month before the reported acute gastrointestinal bleeding. The portsystem was implanted for treatment of multiple liver metastases of an neuroendocrine tumor. This life-threatening situation could not controlled endoscopically. Also an embolisation was impossible so we carried out a laparotomy with ligation of the proper hepatic artery. The postoperative course was uneventful. Due to her tumor disease the patient died 13 month after surgery.
Reiher
F
F
Klinik für Allgemein-, Viszeral- und Gefässchirurgie, Otto-von-Guericke Universität, Magdeburg.
Ridwelski
K
K
Pross
M
M
Lippert
H
H
D017541:Aneurysm, False / Q000150:complications / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000150:complications / Q000601:surgery; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002408:Catheters, Indwelling; D004386:Duodenum / Q000098:blood supply; D004621:Embolization, Therapeutic; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006499:Hepatic Artery / Q000601:surgery; D006801:Humans; D007261:Infusions, Intra-Arterial; D007412:Intestinal Fistula / Q000150:complications* / Q000601:surgery; D008026:Ligation; D008113:Liver Neoplasms / Q000188:drug therapy / Q000556:secondary*; D008875:Middle Aged; D018358:Neuroendocrine Tumors / Q000188:drug therapy / Q000556:secondary*; D016157:Vascular Fistula / Q000150:complications* / Q000601:surgery