Superior Mesenteric Artery Thrombosis; Rare complication after Pancreaticoduodenectemy

Autor:	Satyaprakash Jindal, Varun Madaan, Sandeep Vohra, Deepak Govil, GK Adithya, Chitra, Vivek Tandon, Vachan S. Hukkeri
Rok vydání:	2018
Předmět:	medicine.medical_specialty Gastric emptying business.industry Vascular disease Deep vein Anastomosis medicine.disease Thrombosis Surgery medicine.anatomical_structure Pancreatic fistula medicine.artery medicine Superior mesenteric artery business Complication
Zdroj:	Journal of Health and Allied Sciences NU. :45-47
ISSN:	2582-4953 2582-4287
DOI:	10.1055/s-0040-1708743
Popis:	Pancreaticoduodenectemy(PD) is the treatment of choice for malignant and some benign diseases of the pancreas and periampullary region. Common complications after PD include delayed gastric emptying, pancreatic fistula, anastomotic leak and intra abdominal collection. Postoperative medical complications include arrhythmia, renal failure, pulmonary complications, UTI and Deep vein thrombosis. Superior mesenteric artery (SMA) thrombosis is rarely been reported after PD. There is theoretical possibility of arterial thrombosis in patient with history of vascular disease, which may precipitate after postoperative hypovolemia. SMA thrombosis is difficult to diagnose in postoperative period due to nonspecific symptoms and associated with high mortality rate up to 80-90%. Our patient was a 68 years old female with lower end cholangiocarcinoma without any other co-morbidity. She underwent PD without any intraoperative complications. Post operatively she developed SMA thrombosis. Unfortunately patient could not be salvaged and she succumbs to death.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::be7eb87e58b67b54efebb2edabbdd17e https://doi.org/10.1055/s-0040-1708743