Pseudoaneurysms of the common hepatic artery following pancreaticoduodenectomy: successful emergency embolization.
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.
Radeleff
Boris
B
Department of Diagnostic Radiology, University Hospital Heidelberg, 69120 Heidelberg, Germany. Boris_radeleff@med.uni-heidelberg.de
Noeldge
Gerd
G
Heye
Tobias
T
Schlieter
Martin
M
Friess
Helmut
H
Richter
Goetz M
GM
Kauffmann
Guenter W
GW
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
D003287:Contrast Media