title: Hepatic artery ligation for arterio-duodenal fistula secondary to fistulisation of a hepato-hepatic by-pass into the duodenum.
abstract: We describe a case of severe acute bleeding from an arterio-duodenal fistula between the duodenum and a hepato-hepatic by-pass. Emergency ligation of the common hepatic artery was successfully achieved. After hepatic artery ligation, revascularization of the liver in human subjects occurs through inferior phrenic, pancreatico-duodenal and intercalary de novo arteries.
authors.affiliation: Division of General and Emergency Surgery, Department of Surgery, University of Perugia School of Medicine, Perugia, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Rossi
authors.forename: Enrico
authors.initials: E
authors.lastname: Facchiano
authors.forename: Antonio
authors.initials: A
authors.lastname: Pisciaroli
authors.forename: Matteo
authors.initials: M
authors.lastname: Annesi
authors.forename: Gianbattista
authors.initials: G
authors.lastname: Parlani
authors.forename: Leonardo
authors.initials: L
authors.lastname: Nardelli
authors.forename: Annibale
authors.initials: A
authors.lastname: Donini
mesh_terms: D004378:Duodenal Diseases / Q000209:etiology* / Q000601:surgery*; D004386:Duodenum / Q000601:surgery; D006499:Hepatic Artery / Q000601:surgery*; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery*; D008026:Ligation; D008099:Liver / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery*; D016157:Vascular Fistula / Q000209:etiology* / Q000601:surgery*