Abstract | BACKGROUND/AIMS: In this study, we report on a heterotopic segmental pancreatic autotransplantation (HPAT) with spleen for alcoholic chronic pancreatitis with uncontrollable hemorrhagic pseudocyst and complete portal venous obstruction. The patient was a 72-year-old man who had an alcoholic chronic pancreatitis with severe abdominal pain and hemorrhagic pseudocyst. The first bleeding from a pseudoaneurism of the gastro-duodenal artery (GDA) to the cyst of pancreas head was stopped by interventional radiology (IVR) at our hospital on May 2010. The second bleeding happened with severe abdominal pain on February 15th, 2011; he was admitted on February 17. The IVR was not successful. METHODOLOGY: RESULTS: The postoperative course was uneventful. The abdominal pain had resolved completely and the patient remained normoglycemic after HPAT. CONCLUSIONS:
|
Authors | Yoshinobu Sato, Hiroshi Oya, Satoshi Yamamoto, Hidenaka Kokai, Kohei Miura, Katsuyoshi Hatakeyama |
Journal | Hepato-gastroenterology
(Hepatogastroenterology)
Vol. 60
Issue 123
Pg. 425-7
(May 2013)
ISSN: 0172-6390 [Print] Greece |
PMID | 23159354
(Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
|
Topics |
- Abdominal Pain
(diagnosis, etiology, surgery)
- Aged
- Anastomosis, Roux-en-Y
- Constriction, Pathologic
- Disability Evaluation
- Humans
- Jejunum
(surgery)
- Male
- Pain Measurement
- Pancreas Transplantation
(methods)
- Pancreatic Ducts
(surgery)
- Pancreatic Pseudocyst
(diagnosis, etiology, surgery)
- Pancreaticoduodenectomy
- Pancreatitis, Alcoholic
(complications, diagnosis, surgery)
- Pancreatitis, Chronic
(complications, diagnosis, surgery)
- Portal Vein
(surgery)
- Postoperative Hemorrhage
(diagnosis, etiology, surgery)
- Predictive Value of Tests
- Plastic Surgery Procedures
- Spleen
(transplantation)
- Splenectomy
- Tomography, X-Ray Computed
- Transplantation, Autologous
- Treatment Outcome
|