Acute bleeding from pseudoaneurysms following liver and pancreatobiliary surgery
| Autor: | F. J. Turégano, M. D. Pérez Díaz, A. Moreno, C. Rey, A. Sanchez Arteaga, A. Lusilla, M. I. Orue-Echebarria, L. Zarain, Carmen María Lacasa Martínez, M. Cuadrado, Manuel González Leyte |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Gastrointestinal bleeding Abdominal pain medicine.medical_treatment Hemorrhage Anastomosis Critical Care and Intensive Care Medicine 03 medical and health sciences Pseudoaneurysm Postoperative Complications 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Hemoperitoneum Aged Aged 80 and over medicine.diagnostic_test business.industry Liver Diseases Haemobilia Pancreatic Diseases Stent Interventional radiology Middle Aged Vascular System Injuries medicine.disease Embolization Therapeutic Surgery 030220 oncology & carcinogenesis Emergency Medicine Female 030211 gastroenterology & hepatology Radiology medicine.symptom business Aneurysm False |
| Zdroj: | European Journal of Trauma and Emergency Surgery. 43:307-311 |
| ISSN: | 1863-9941 1863-9933 |
| DOI: | 10.1007/s00068-016-0672-7 |
| Popis: | We report 12 patients with visceral PA following pancreato-biliary and hepatic surgery. Seven patients (7/11, 63 %) had developed postoperative complications from their original procedure; that information was missing in one patient. Bleeding occurred in eight (three with hemoperitoneum two with haemobilia, and three with GI bleeding through a biliary-enteric anastomosis), three were asymptomatic, and the other one presented with abdominal pain. Eleven patients had an interventional radiology procedure performed (Five underwent angioembolization, a stent was placed in four, and two patients underwent both procedures). Complications related to the procedure developed in 6 (54.5 %) patients, and surgery was required in four of them. Postoperative pseudoaneurysms (PA) of visceral arteries are rare and usually secondary to vascular injury after pancreato-biliary and liver surgery. They usually present with bleeding and nowadays most are amenable to initial control by interventional radiology. |
| Databáze: | OpenAIRE |
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