title: [Pancreas-preserving duodenectomy in acute situations. Surgical treatment of an iatrogenic hemorrhage in the duodenal wall].
abstract: We report the case of a 24-year-old patient who underwent a duodenal biopsy due to the suspicion of graft-versus-host disease following allogeneic stem cell transplantation 3 months previously. The patient developed severe upper abdominal pain after the biopsy. A computed tomography scan revealed diffuse hemorrhaging in the duodenal wall and mesenteric root. Following supraselective angioembolization to stop the bleeding a control computed tomography scan was carried out the following day and revealed increasing destruction of the duodenal wall due to a dissecting aneurysm. A pancreas-preserving duodectomy was carried out.
authors.affiliation: Klinik und Poliklinik für Chirurgie, Abteilung für Allgemeine, Thorax-, Gefäss- und Transplantationschirurgie, Universitätsklinikum Rostock, Schillingallee 35, Rostock, Germany. katharina.moritz@med.uni-rostock.de
authors.forename: K
authors.initials: K
authors.lastname: Moritz
authors.forename: M
authors.initials: M
authors.lastname: Weinrich
authors.forename: J C
authors.initials: JC
authors.lastname: Kröger
authors.forename: E
authors.initials: E
authors.lastname: Klar
mesh_terms: D000328:Adult; D000792:Angiography; D001706:Biopsy / Q000009:adverse effects; D004378:Duodenal Diseases / Q000473:pathology / Q000601:surgery*; D004386:Duodenum / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D004621:Embolization, Therapeutic / Q000009:adverse effects; D006471:Gastrointestinal Hemorrhage / Q000473:pathology / Q000601:surgery*; D006087:Graft vs Host Reaction; D006801:Humans; D008297:Male; D010179:Pancreas / Q000601:surgery*; D033581:Stem Cell Transplantation; D014057:Tomography, X-Ray Computed