Kaw Leoncio L, Saeed Moshin, Brunson Matt, Delaria Giacomo A, Dilley Ralph B
Division of Cardiothoracic and Vascular Surgery, Scripps Clinic and Scripps Green Hospital, La Jolla, California, USA.
Asian J Surg. 2006 Oct;29(4):283-6. doi: 10.1016/S1015-9584(09)60103-2.
Although uncommon, bleeding following pancreaticoduodenectomy is associated with high mortality. Management generally includes surgical reexploration or, alternatively, transarterial embolization. We report the case of a 62-year-old man who presented with massive upper gastrointestinal bleeding 3 weeks after pancreaticoduodenectomy. Selective coeliac angiography revealed a large pseudoaneurysm involving the proper hepatic artery. This was treated successfully with a stent graft. There was no recurrence of bleeding at the 6-month follow-up. To our knowledge, this is the first report of stent graft repair of bleeding hepatic artery pseudoaneurysm following pancreaticoduodenectomy.
尽管并不常见，但胰十二指肠切除术后出血与高死亡率相关。治疗通常包括手术再次探查，或者经动脉栓塞。我们报告一例62岁男性患者，在胰十二指肠切除术后3周出现大量上消化道出血。选择性腹腔动脉造影显示肝固有动脉存在一个大的假性动脉瘤。采用覆膜支架成功治疗。6个月随访时无出血复发。据我们所知，这是首例关于胰十二指肠切除术后肝动脉假性动脉瘤出血采用覆膜支架修复的报道。
