title: An unusual case of late gastrointestinal bleeding after pancreatoduodenectomy.
abstract: With more widespread application of and improved outcomes from pancreatoduodenectomy, late complications of this procedure are appearing more commonly in the clinical setting. Presented here is an unusual case of hemobilia secondary to cavernous portal vein transformation one year following pylorus-sparing pancreatoduodenectomy. Common and unusual causes of gastrointestinal bleeding following pancreatoduodenectomy are discussed.
authors.affiliation: Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
authors.forename: Benjamin J
authors.initials: BJ
authors.lastname: Rejowski
authors.affiliation: Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
authors.forename: Rosalie A
authors.initials: RA
authors.lastname: Fillenwarth
authors.affiliation: Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
authors.forename: Patrick B
authors.initials: PB
authors.lastname: White
authors.affiliation: Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA. Electronic address: nzyromsk@iupui.edu.
authors.forename: Nicholas J
authors.initials: NJ
authors.lastname: Zyromski
mesh_terms: D000368:Aged; D018798:Anemia, Iron-Deficiency / Q000209:etiology; D004386:Duodenum / Q000601:surgery; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D011169:Portal Vein / Q000601:surgery; D011183:Postoperative Complications; D011708:Pylorus
keywords: Cavernous portal vein transformation; Gastrointestinal bleed; Hemobilia; Pancreatoduodenectomy