Dousse Damien, Bloom Eric, Suc Bertrand
Department of Visceral Surgery, Toulouse-Purpan University Hospital, 31059 Toulouse Cedex 9, France.
Department of Visceral Surgery, Toulouse-Rangueil University Hospital, 31059 Toulouse Cedex 9, France.
World J Gastrointest Surg. 2018 Dec 27;10(9):107-110. doi: 10.4240/wjgs.v10.i9.107.
Pancreaticoduodenectomy (PD)-induced morbidity, consisting mainly of the pancreatic fistula and its hemorrhagic and infectious consequences, is well described in the literature, in terms of its definition, risk factors, preventive measures, and standardized management of complications. However, some life-threatening complications remain atypical and undescribed.
We report here the case of a 69-year-old patient with Budd-Chiari syndrome that occurred after arterial embolization of postpancreatectomy hemorrhage. Diagnosis was established with biological findings (., acute liver failure) and radiological findings (., compressive hematoma of the retrohepatic vena cava). Emergency surgical revision was performed to evacuate the hematoma. The postoperative course was uneventful, with rapid recovery of liver function. To our knowledge, post-PD Budd-Chiari syndrome has never been described in the literature.
Acute liver failure in early post-PD should prompt investigation to rule out Budd-Chiari syndrome.
胰十二指肠切除术（PD）所致的发病情况，主要包括胰瘘及其出血和感染后果，其定义、危险因素、预防措施及并发症的标准化管理在文献中已有详尽描述。然而，一些危及生命的并发症仍不典型且未被描述。
我们在此报告一例69岁患有布加综合征的患者，该综合征发生于胰十二指肠切除术后出血的动脉栓塞之后。通过生物学检查结果（如急性肝衰竭）和影像学检查结果（如肝后下腔静脉受压血肿）确诊。进行了急诊手术翻修以清除血肿。术后病程顺利，肝功能迅速恢复。据我们所知，文献中从未描述过胰十二指肠切除术后布加综合征。
胰十二指肠切除术后早期出现急性肝衰竭应促使进行检查以排除布加综合征。
