Spontaneous cessation of postpancreatectomy hemorrhage in a patient with celiac artery stenosis
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...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322004150 |
| _version_ | 1818096154666074112 |
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| author | Yevhenii Trehub, MD Oleg Vasiliev, Phd Anna Malovanna, MD |
| author_facet | Yevhenii Trehub, MD Oleg Vasiliev, Phd Anna Malovanna, MD |
| author_sort | Yevhenii Trehub, MD |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-10T23:00:07Z |
| format | Article |
| id | doaj.art-cd8f73ee210f4ea98d0d15400b23d606 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-10T23:00:07Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-cd8f73ee210f4ea98d0d15400b23d6062022-12-22T01:30:09ZengElsevierRadiology Case Reports1930-04332022-09-0117931423146Spontaneous cessation of postpancreatectomy hemorrhage in a patient with celiac artery stenosisYevhenii Trehub, MD0Oleg Vasiliev, Phd1Anna Malovanna, MD2Department of Liver, Pancreatic Tumors and Oncovascular Surgery, National Cancer Institute, 33/43 Lomonosova st, Kyiv 03022, Ukraine; Corresponding author.Department of Liver, Pancreatic Tumors and Oncovascular Surgery, National Cancer Institute, 33/43 Lomonosova st, Kyiv 03022, UkraineDepartment of Oncology, Institute of Postgraduate Education, O.O. Bogomolets National Medical University, 36 Peremohy av, Kyiv 02000, UkrainePostpancreatectomy 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.http://www.sciencedirect.com/science/article/pii/S1930043322004150Case reportPostpancreatectomy hemorrhagePseudoaneurysmDistal pancreatectomyPancreatic fistulaCeliac artery stenosis |
| spellingShingle | Yevhenii Trehub, MD Oleg Vasiliev, Phd Anna Malovanna, MD Spontaneous cessation of postpancreatectomy hemorrhage in a patient with celiac artery stenosis Radiology Case Reports Case report Postpancreatectomy hemorrhage Pseudoaneurysm Distal pancreatectomy Pancreatic fistula Celiac artery stenosis |
| title | Spontaneous cessation of postpancreatectomy hemorrhage in a patient with celiac artery stenosis |
| title_full | Spontaneous cessation of postpancreatectomy hemorrhage in a patient with celiac artery stenosis |
| title_fullStr | Spontaneous cessation of postpancreatectomy hemorrhage in a patient with celiac artery stenosis |
| title_full_unstemmed | Spontaneous cessation of postpancreatectomy hemorrhage in a patient with celiac artery stenosis |
| title_short | Spontaneous cessation of postpancreatectomy hemorrhage in a patient with celiac artery stenosis |
| title_sort | spontaneous cessation of postpancreatectomy hemorrhage in a patient with celiac artery stenosis |
| topic | Case report Postpancreatectomy hemorrhage Pseudoaneurysm Distal pancreatectomy Pancreatic fistula Celiac artery stenosis |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322004150 |
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