[Massive gastrointestinal hemorrhage with anastomosis rupture in pseudoaneurysm of the common hepatic artery follow pancreaticoduodenectomy. An unusual, severe complication].
Surgery of pancreatic and biliary tract carcinomas includes an extensive surgical dissection with removal of all neural and lymphoid tissue together with a skeletonization of hepatoduodenal structures. Skeletonization or autodigestion may lead to pseudaneurysms of perihepatic arteries. Rupture of one of these aneurysms may cause a severe upper gastrointestinal bleeding. Only a few cases of these serious complications are reported in literature.
Specker
R
R
Chirurgische Klinik A, Kantonsspital Luzern, Luzern. r.specker@spitalilanz.ch
Wildisen
A
A
von Flüe
M
M
D014670:Ampulla of Vater / Q000601:surgery*; D000714:Anastomosis, Surgical; D017541:Aneurysm, False / Q000175:diagnosis / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000601:surgery*; D003131:Combined Modality Therapy; D003138:Common Bile Duct Neoplasms / Q000601:surgery*; D004621:Embolization, Therapeutic; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000601:surgery*; D006499:Hepatic Artery / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy; D010193:Pancreaticojejunostomy; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D012086:Reoperation; D013529:Surgical Wound Dehiscence / Q000175:diagnosis / Q000601:surgery*
Massive Gastrointestinalblutung mit Anastomosenruptur bei Pseudoaneurysma der A. hepatica communis nach Pancreato-Duodenektomie. Eine ungewöhnliche, schwerwiegende Komplikation.