title: Percutaneous transhepatic placement of a stent-graft to treat a delayed mesoportal hemorrhage after pancreaticoduodenectomy.
abstract: Postoperative hemorrhage is one of the most severe complications after pancreaticoduodenectomy. While detection of bleeding from adjacent arteries via conventional angiography and treatment with endovascular arterial coil embolization has been well established, to date no reports of percutaneous therapy for mesoportal hemorrhage have been published. This article describes an unusual case of delayed post-pancreaticoduodenectomy hemorrhage detected on a fluoroscopic drain check and treated with percutaneous transhepatic covered stent placement.
authors.forename: Michael
authors.initials: M
authors.lastname: Ginsburg
authors.affiliation: Department of Radiology, NorthShore University HealthSystem, 2650 Ridge Avenue, Evanston, Illinois 60201, USA. hectorferral@gmail.com.
authors.forename: Hector
authors.initials: H
authors.lastname: Ferral
authors.forename: Marc J
authors.initials: MJ
authors.lastname: Alonzo
authors.forename: Mark S
authors.initials: MS
authors.lastname: Talamonti
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000368:Aged; D014670:Ampulla of Vater / Q000473:pathology / Q000601:surgery*; D004621:Embolization, Therapeutic; D005260:Female; D006470:Hemorrhage; D006499:Hepatic Artery / Q000601:surgery*; D006801:Humans; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D019106:Postoperative Hemorrhage / Q000209:etiology* / Q000628:therapy; D011379:Prognosis; D015607:Stents