Department of Hepatobiliary Surgery, The First Affiliated Hospital of Shaoxing University, Shaoxing, Zhejiang Province, China.
Department of Hepatobiliary Surgery, Shaoxing People's Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing, Zhejiang Province, China.
J Int Med Res. 2022 Jun;50(6):3000605221109396. doi: 10.1177/03000605221109396.
Pancreaticoduodenectomy (PD) is one of the most complex surgeries and is associated with a high rate of complications, including bleeding, delayed gastric emptying (DGE), and pancreatic fistula. Although the frequency of postoperative hemorrhage is not high, this complication results in severe adverse outcomes. A 67-year-old man was diagnosed with pancreatic cancer and underwent PD. On the tenth day after surgery, he developed hypovolemic shock with hematemesis. Urgent digital subtraction angiography identified the bleeding artery as the jejunal mesenteric artery at the afferent loop, and the bleeding artery was embolized with two coils. After digital subtraction angiography, the patient had an uneventful recovery with no further complications. Therefore, we concluded that it is possible that bleeding may occur in the afferent loop when hemorrhage occurs after PD.
胰十二指肠切除术（PD）是最复杂的手术之一，与高并发症发生率相关，包括出血、胃排空延迟（DGE）和胰瘘。虽然术后出血的频率不高，但这种并发症会导致严重的不良后果。一名 67 岁男性被诊断为胰腺癌并接受了 PD 手术。术后第 10 天，他出现呕血伴低血容量性休克。紧急数字减影血管造影术确定出血动脉为输入襻的空肠系膜动脉，用两个线圈对出血动脉进行了栓塞。数字减影血管造影术后，患者恢复顺利，无进一步并发症。因此，我们得出结论，PD 术后出血时，输入襻可能会发生出血。
