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Clinical Observation
January 2002

Visceral Artery Pseudoaneurysms Following Pancreatoduodenectomy

Author Affiliations

From the Department of Surgery, Our Lady of Mercy Medical Center, Bronx, NY (Dr E. Otah); the Institute for Liver, Biliary, and Pancreatic Surgery, Community Hospital of Dobbs Ferry, Dobbs Ferry, NY (Drs Cushin and Cooperman); and the Departments of Radiology, Westchester Medical Center, Valhalla, NY (Dr Rozenblit), and St Vincent's Hospital and Medical Center of New York, New York (Dr Neff); and Division of Cardiology, State University of New York Health Sciences Center at Brooklyn (Dr K. Otah).

Arch Surg. 2002;137(1):55-59. doi:10.1001/archsurg.137.1.55

Pancreatic and biliary fistulas and delayed gastric emptying are the most common complications after pancreatoduodenectomy. The development and bleeding of visceral arterial pseudoaneurysms are rare phenomena and pose diagnostic and treatment dilemmas. We describe 5 recent patients who developed bleeding from visceral artery pseudoaneurysms after pancreatoduodenectomy. These patients all had "herald" bleeding from their abdominal drains. Subsequent angiography and therapeutic embolizations were successfully performed.

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