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Sequential treatment of rupture of pseudoaneurysm of hepatic artery with peritoneal patch and radiological embolization
- Source :
- Journal of Surgical Case Reports
- Publication Year :
- 2019
- Publisher :
- Oxford University Press, 2019.
-
Abstract
- Bleeding after pancreatico-duodenectomy (PD) is a serious complication with high rates of morbidity and mortality. Interventional radiology techniques’ using embolization and/or stenting is the optimal management. In case of hemodynamic instability, surgical treatment is mandatory, but its mortality rate is considerable. Herein, we report the management of massive bleeding in a 52-year-old-male patient, 3 weeks after PD. The patient suffered severe hemorrhage with two cardiac arrests and surgical treatment was performed immediately after resuscitation. A defect in the distal part of the hepatic artery was repaired using a peritoneal patch. A postoperative CT scan confirmed bleeding control and the presence of a pseudoaneurysm within the patch area. The second step of the treatment was to perform selective embolization. The course was uneventful, and the patient was discharged 6 weeks later.
- Subjects :
- medicine.medical_specialty
Resuscitation
medicine.diagnostic_test
business.industry
medicine.medical_treatment
Mortality rate
Interventional radiology
Case Report
medicine.disease
030218 nuclear medicine & medical imaging
Surgery
03 medical and health sciences
Pseudoaneurysm
0302 clinical medicine
medicine.anatomical_structure
030220 oncology & carcinogenesis
Radiological weapon
Medicine
Embolization
business
Complication
Artery
Subjects
Details
- Language :
- English
- ISSN :
- 20428812
- Volume :
- 2019
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Journal of Surgical Case Reports
- Accession number :
- edsair.doi.dedup.....ad2a692ef24975203dac6a4533d17604