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01.12.2014 | Case report | Ausgabe 1/2014 Open Access

World Journal of Surgical Oncology 1/2014

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

Zeitschrift:
World Journal of Surgical Oncology > Ausgabe 1/2014
Autoren:
Michael Ginsburg, Hector Ferral, Marc J Alonzo, Mark S Talamonti
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1477-7819-12-315) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

MG participated in the interventional radiology procedure described in this case report and drafted the manuscript. HF participated in the interventional radiology procedure described in this case report and drafted the manuscript. MA participated in the interventional radiology procedure described in this case report and drafted the manuscript. MT performed the pancreaticoduodenectomy and drafted the manuscript. All authors read and approved the final manuscript.

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.
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