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Percutaneous transhepatic placement of a stent-graft to treat a delayed mesoportal hemorrhage after pancreaticoduodenectomy.

Abstract
Postoperative hemorrhage is one of the most severe complications after pancreaticoduodenectomy. While detection of bleeding from adjacent arteries via conventional angiography and treatment with endovascular arterial coil embolization has been well established, to date no reports of percutaneous therapy for mesoportal hemorrhage have been published. This article describes an unusual case of delayed post-pancreaticoduodenectomy hemorrhage detected on a fluoroscopic drain check and treated with percutaneous transhepatic covered stent placement.
AuthorsMichael Ginsburg, Hector Ferral, Marc J Alonzo, Mark S Talamonti
JournalWorld journal of surgical oncology (World J Surg Oncol) Vol. 12 Pg. 315 (Oct 15 2014) ISSN: 1477-7819 [Electronic] England
PMID25315011 (Publication Type: Case Reports, Journal Article)
Topics
  • Adenocarcinoma (pathology, surgery)
  • Aged
  • Ampulla of Vater (pathology, surgery)
  • Embolization, Therapeutic
  • Female
  • Hemorrhage
  • Hepatic Artery (surgery)
  • Humans
  • Pancreaticoduodenectomy (adverse effects)
  • Postoperative Hemorrhage (etiology, therapy)
  • Prognosis
  • Stents

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