title: Rare cause of delayed upper gastrointestinal bleeding after pancreaticoduodenectomy.
abstract: BACKGROUND
  Luminal bleeding after pancreaticoduodenectomy can be present in various degrees of acuity in up to 30% of patients.
  
  
  METHODS
  In this report, we describe a rare and uncommon cause of gastrointestinal bleeding after pancreaticoduodenectomy and review of the literature.
  
  
  CONCLUSIONS
  Multiple biliary procedures with common complications increase the difficulty making the correct diagnosis and therefore all possible etiologies of a complication must be evaluated.
authors.affiliation: Solid Organ Transplantation, Department of Surgery, University of Massachusetts Medical School, Worcester, MA 01655, USA.
authors.forename: Aneel
authors.initials: A
authors.lastname: Damle
authors.forename: Asa
authors.initials: A
authors.lastname: Clemenzi-Allen
authors.forename: Nicolas
authors.initials: N
authors.lastname: Jabbour
authors.forename: Shimul A
authors.initials: SA
authors.lastname: Shah
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D017541:Aneurysm, False / Q000150:complications* / Q000000981:diagnostic imaging; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography