Biliary ischemia following embolization of a pseudoaneurysm after pancreaticoduodenectomy.
OBJECTIVE
To report an uncommon consequence of hepatic artery occlusion in the management of a bleeding pseudoaneurysm following pancreaticoduodenectomy.


METHODS
Analysis of a case involving a single patient in which a bleeding pseudoaneurysm of the gastroduodenal arterial stump following pancreaticoduodenectomy was treated by transcatheter arterial embolization.


METHODS
Effective hemostasis necessitated interruption of the hepatic arterial flow and was complicated by biliary ischemia and intrahepatic biloma.
Noun
Roger
R
Department of Digestive Surgery, Hôtel-Dieu de France Hospital. Beirut, Lebanon. rnoun@wise.net.lb
Zeidan
Smart
S
Tohme-Noun
Carla
C
Smayra
Tarek
T
Sayegh
Raymond
R
D017541:Aneurysm, False / Q000209:etiology* / Q000628:therapy*; D001659:Biliary Tract / Q000098:blood supply*; D004621:Embolization, Therapeutic / Q000009:adverse effects* / Q000379:methods; D006499:Hepatic Artery / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000175:diagnosis* / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D019106:Postoperative Hemorrhage / Q000628:therapy; D012307:Risk Factors; D015607:Stents; D014057:Tomography, X-Ray Computed