Control of major hemorrhage from the spleno-mesenteric vein junction during pancreaticoduodenectomy: successful use of an occlusion balloon catheter.
OBJECTIVE
Vascular disruption is sometimes associated with intractable hemorrhage due to either vessel fragility or increased blood flow rates in patients with chronic pancreatitis during surgical operation. This paper describes the successful use of an occlusion catheter for repairing a major laceration at the spleno-mesenteric vein junction.


METHODS
A 14-Fr Fogarty occlusion balloon catheter was directly inserted into the splenic vein through the site of venous laceration and inflated to stop blood flow from the splenic vein.


RESULTS
This procedure perfectly controlled massive hemorrhage from the spleno-mesenteric vein junction. The injured site was repaired with a continuous suture in 5 min.


CONCLUSIONS
The direct insertion of a balloon catheter to the injured site is simple and expeditious to control major hemorrhage from the spleno-mesenteric vein junction when the situation is otherwise unmanageable.
Fujino
Y
Y
First Department of Surgery, Kobe University, School of Medicine, Kobe, Japan.
Ku
Y
Y
Nakamura
T
T
Iwasaki
T
T
Kuroda
Y
Y
D002404:Catheterization; D003250:Constriction; D006470:Hemorrhage / Q000628:therapy*; D006801:Humans; D007431:Intraoperative Complications / Q000628:therapy*; D022125:Lacerations / Q000628:therapy*; D008297:Male; D008642:Mesenteric Veins / Q000293:injuries*; D008875:Middle Aged; D016577:Pancreaticoduodenectomy; D010195:Pancreatitis / Q000601:surgery; D012008:Recurrence; D013162:Splenic Vein / Q000293:injuries*