Management of delayed arterial hemorrhage after pancreaticoduodenectomy. A case series.
CONTEXT Delayed arterial hemorrhage is a rare complication after pancreaticoduodenectomy (frequency 2-4%) but carries a high mortality, with up to a third of patients dying as a consequence. Its ideal management remains unclear.


METHODS
Between 1993 and 2007, 317 head of pancreas resections were performed at our institution; there were 5 cases of delayed arterial hemorrhage (frequency 1.6%).


CONCLUSIONS
This paper presents our experience in the management of delayed arterial haemorrhage post pancreaticoduodenecomy and discusses the role of angiograms, endoscopy and laparotomy in its management.
Khorsandi
Shirin E
SE
HPB Unit, Department of BioSurgery and Surgical Technology, Hammersmith Hospital. London, England.
Limongelli
Paolo
P
Jackson
James E
JE
Tait
Paul
P
Williamson
Robin C
RC
Habib
Nagy A
NA
Jiao
Long R
LR
D000368:Aged; D000792:Angiography; D001158:Arteries / Q000293:injuries*; D016145:Endoscopy, Digestive System; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D015641:Radiography, Interventional