Aliyazicioglu T, Carilli S, Rozanes I, Emre AS (2018) Visceral Artery Pseudoaneurysm Rupture after Pancreaticoduodenectomy. J Clin Gastroenterol Treat 4:063.


© 2018 Aliyazicioglu T, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESS DOI: 10.23937/2469-584X/1510063

Visceral Artery Pseudoaneurysm Rupture after Pancreaticoduodenectomy

Tolga Aliyazicioglu1*, Senol Carilli2, Izzet Rozanes2 and Ali Sami Emre2

1Department of General Surgery, VKV Koc University Hospital, Istanbul, Turkey

2Department of General Surgery, VKV American Hospital, Istanbul, Turkey


Although mortality after pancreaticoduodenectomy (PD) in high volume centers is less than 5%, morbidity is still as high as 30 - 50%. Hemorrhage from ruptured pseudoaneurysm is a rapidly progressing and potentially fatal complication after PD.Visceral pseudoaneurysm after pancreatic surgery is well known by surgeons. Postpancreatectomy hemorrhage is a life threatening entity, and must be managed urgently. Here we report two cases, late massive bleeding after pancreaticoduodenectomy. First case is a 69-year-old male with a ruptured dorsal pancreatic artery pseudoaneurysm which was successfully treated with endovascular arterial coil embolization. Second case is a 52-year-old male patient with a ruptured gastroduodenal artery pseudoaneurysm which was treated with laparotomy. Upper gastrointestinal bleeding in the late postoperative period following PD should alert the surgeon to the possibility of a ruptured celiac vessel pseudoaneurysm.