[Rupture of a jejunal artery pseudo-aneurysm after a cephalic duodenopancreatectomy].
Arterial pseudo-aneurysms complicating pancreaticoduodenectomy are rare but have a poor prognosis. They usually result from arterial erosion due to pancreatic fistula. The authors report a pseudo-aneurysm with an uncommon localization (first jejunal artery), diagnosed after a negative first arteriography, and successfully treated by radiological embolization. Special features of pseudo-aneurysms complicating pancreaticoduodenectomy are reviewed.
Vibert
E
E
Service de chirurgie digestive, université Paris-XII, hôpital Henri-Mondor, 51, boulevard du Maréchal-de-Lattre-de-Tassigny, 94010, Créteil, France.
Kobeiter
H
H
Malassagne
B
B
Watrin
T
T
Fagniez
P-L
PL
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D000792:Angiography; D001158:Arteries; D018281:Cholangiocarcinoma / Q000601:surgery; D003138:Common Bile Duct Neoplasms / Q000601:surgery; D004621:Embolization, Therapeutic; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007583:Jejunum / Q000098:blood supply*; D008026:Ligation; D008297:Male; D010185:Pancreatic Fistula / Q000150:complications; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D011379:Prognosis; D015641:Radiography, Interventional; D012307:Risk Factors; D012422:Rupture, Spontaneous; D012769:Shock / Q000209:etiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome