title: Pseudoaneurysms of the common hepatic artery following pancreaticoduodenectomy: successful emergency embolization.
abstract: We report a rare case of two communicating pseudoaneurysms of the common hepatic artery 1 month postoperatively following pylorus-preserving pancreaticoduodenectomy due an abscess formation. We describe the superselective transcatheteral embolization technique with deployment of interlocking detachable coils and Histoacryl-Lipiodol in this case and discuss the recent literature. Despite the technical success by achieving hemodynamic stability with initial preservation of liver function, the patient died 23 days postembolization due to multiorgan failure.
authors.affiliation: Department of Diagnostic Radiology, University Hospital Heidelberg, 69120 Heidelberg, Germany. Boris_radeleff@med.uni-heidelberg.de
authors.forename: Boris
authors.initials: B
authors.lastname: Radeleff
authors.forename: Gerd
authors.initials: G
authors.lastname: Noeldge
authors.forename: Tobias
authors.initials: T
authors.lastname: Heye
authors.forename: Martin
authors.initials: M
authors.lastname: Schlieter
authors.forename: Helmut
authors.initials: H
authors.lastname: Friess
authors.forename: Goetz M
authors.initials: GM
authors.lastname: Richter
authors.forename: Guenter W
authors.initials: GW
authors.lastname: Kauffmann
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D003287:Contrast Media / Q000008:administration & dosage; D004621:Embolization, Therapeutic / Q000379:methods*; D004638:Emergency Treatment / Q000379:methods*; D017809:Fatal Outcome; D006499:Hepatic Artery / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D035583:Rare Diseases; D018805:Sepsis / Q000150:complications; D014057:Tomography, X-Ray Computed / Q000379:methods
chemical_list: D003287:Contrast Media