Hepatic artery ligation for arterio-duodenal fistula secondary to fistulisation of a hepato-hepatic by-pass into the duodenum.
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.
Rossi
Paolo
P
Division of General and Emergency Surgery, Department of Surgery, University of Perugia School of Medicine, Perugia, Italy.
Facchiano
Enrico
E
Pisciaroli
Antonio
A
Annesi
Matteo
M
Parlani
Gianbattista
G
Nardelli
Leonardo
L
Donini
Annibale
A
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*