Pancreaticoduodenectomy with unusual artery reconstruction in a patient with celiac axis occlusion: report of a case.
Updates Surg
; 62(2): 117-20, 2010 Oct.
Article
en En
| MEDLINE
| ID: mdl-20845012
ABSTRACT
Celiac axis stenosis is a relatively common finding that may require major revascularization during pancreaticoduodenectomy. We present a patient that underwent pancreaticoduodenectomy for intraductal papillary mucinous neoplasm of the pancreatic head associated with celiac axis obstruction. To secure arterial blood flow to the upper abdominal organs, the superior posterior pancreaticoduodenal artery and the posterior-inferior pancreatic-duodenal artery were carefully preserved, and anastomosed. The postoperative course was complicated by a pseudoaneurysm of the splenic artery that was successfully treated with angiographic embolization through the vascular bypass. This may be a valid alternative procedure for revascularization of the common hepatic artery during pancreaticoduodenectomy in a patient with celiac axis stenosis.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Pancreatectomía
/
Pancreaticoduodenectomía
Límite:
Humans
Idioma:
En
Revista:
Updates Surg
Año:
2010
Tipo del documento:
Article
País de afiliación:
Italia