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

Yevhenii Trehub, Oleg Vasiliev, Anna Malovanna

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Article in Radiology case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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3 authors at 2 institutions in 1 country.

Yevhenii TrehubDepartment of Liver, Pancreatic Tumors and Oncovascular Surgery, National Cancer Institute, 33/43 Lomonosova st, Kyiv 03022, Ukraine.

Oleg VasilievDepartment of Liver, Pancreatic Tumors and Oncovascular Surgery, National Cancer Institute, 33/43 Lomonosova st, Kyiv 03022, Ukraine.

Anna MalovannaDepartment of Oncology, Institute of Postgraduate Education, O.O. Bogomolets National Medical University, 36 Peremohy av, Kyiv 02000, Ukraine.

National Cancer Institute · UABogomolets National Medical University · UA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

CAS, celiac artery stenosisCase reportCBC, complete blood countCeliac artery stenosisCHA, common hepatic arteryCT, computed tomographyDistal pancreatectomyIR, interventional radiologyNSAIDs, nonsteroidal anti-inflammatory drugsPancreatic fistulaPostpancreatectomy hemorrhagePPH, postpancreatectomy hemorrhagePseudoaneurysmRHA, right hepatic arterySMA, superior mesenteric arteryUS, ultrasound

Identifiers

PMID35801121

DOI10.1016/j.radcr.2022.05.066

PMCPMC9253043

OpenAlexW4284973717

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LicenceCC BY-NC-ND

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