Spontaneous cessation of postpancreatectomy hemorrhage in a patient with celiac artery stenosis

Radiology Case Reports

article

Yevhenii Trehub¹  Oleg Vasiliev¹  Anna Malovanna¹ 

[1] Department of Liver, Pancreatic Tumors and Oncovascular Surgery, National Cancer Institute

关键词: Case report;    Postpancreatectomy hemorrhage;    Pseudoaneurysm;    Distal pancreatectomy;    Pancreatic fistula;    Celiac artery stenosis;   

DOI  :  10.1016/j.radcr.2022.05.066

学科分类：生物化学工程

来源: University of Washington * Department of Radiology

【 摘 要 】

Postpancreatectomy hemorrhage (PPH) is a severe complication of pancreatic surgery . This condition often develops on the background of pancreatic fistula . In our report, we demonstrate an unusual case of spontaneous cessation of severe postpancreatectomy common hepatic artery (СHA) hemorrhage after distal pancreatectomy in a patient with celiac artery stenosis (CAS). A 64-year-old male diagnosed with pancreatic tail tumor underwent extended distal pancreatectomy. He developed pancreatic fistula and was discharged with an abdominal drain, and was readmitted with severe postpancreatectomy hemorrhage from a pseudoaneurysm of the CHA. The bleeding stopped spontaneously due to CHA thrombosis. The patient developed no ischemic symptoms. Spontaneous severe postpancreatectomy hemorrhage cessation is an extremely rare phenomenon. Vascular anomalies must be considered when attempting interventional radiology treatment. CHA probably may be sacrificed with no ischemic consequences in case of severe hemorrhage in patients with CAS.

【 授权许可】

CC BY|CC BY-NC-ND