Endovascular pseudoaneurysm repair after distal pancreatectomy with celiac axis resection
Endovascular pseudoaneurysm repair after distal pancreatectomy with celiac axis resection作者机构：Department of Gastroenterological Surgery Kochi Health Sciences Center Kochi cityKochi 781-8555 Japan Department of Radiology Kochi Health Sciences Center Kochi Kochi 781-8555 Japan Department of Cardiovascular Internal Medicine Kochi Health Sciences Center Kochi Kochi 781-8555Japan
出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)
年 卷 期：2013年第19卷第45期
页 面：8435-8439页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
基 金：Supported by The Kochi Organization for Medical Reformation and Renewal
主 题：Distal pancreatectomy En block celiac axis resection Pseudoaneurysm Endovascular treatment Covered stent
摘 要：Erosive hemorrhage due to pseudoaneurysm is one of the most life-threatening complications after ***,we report an extremely rare case of rupture of a pseudoaneurysm of the common hepatic artery(CHA)stump that developed after distal pancreatectomy with en block celiac axis resection(DP-CAR),and was successfully treated through covered stent *** patient is a 66-year-old woman who underwent DP-CAR after adjuvant chemoradiotherapy for locally advanced pancreatic body *** developed an intra-abdominal abscess around the remnant pancreas head 31 d after the surgery,and computed tomography(CT)showed an occluded portal vein due to the spreading inflammation around the *** general condition improved after CT-guided drainage of the ***,19 d later,she presented with melena,and CT showed a pseudoaneurysm arising from the CHA *** the CHA had been resected during the DP-CAR,this artery could not be used as the access route for endovascular treatment,and instead,we placed a covered stent via the inferior pancreaticoduodenal artery originating from the superior mesenteric *** stent placement,cessation of bleeding and anterograde hepatic artery flow were confirmed,and the patient recovered well without any further *** angiography at the 6-mo follow-up indicated the patency of the covered stent with sustained hepatic artery *** our knowledge,this is the first reported case of endovascular repair of a pseudoaneurysm that developed after DP-CAR.
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