Pancreaticoduodenectomy complicated by Budd-Chiari syndrome: A case report and review of literature  

作　　者：Damien Dousse Eric Bloom Bertrand Suc 

机构地区：[1]Department of Visceral Surgery,Toulouse-Purpan University Hospital [2]Department of Visceral Surgery, Toulouse-Rangueil University Hospital

出　　处：《World Journal of Gastrointestinal Surgery》2018年第9期107-110,共4页世界胃肠外科杂志（英文版）（电子版）

摘　　要：BACKGROUND Pancreaticoduodenectomy(PD)-induced morbidity, consisting mainly of the pancreatic fistula and its hemorrhagic and infectious consequences, is well described in the literature, in terms of its definition, risk factors, preventive measures, and standardized management of complications. However, some lifethreatening complications remain atypical and undescribed. CASE SUMMARY We report here the case of a 69-year-old patient with Budd-Chiari syndrome that occurred after arterial embolization of postpancreatectomy hemorrhage. Diagnosis was established with biological findings(i.e., acute liver failure) and radiological findings(i.e., compressive hematoma of the retrohepatic vena cava). Emergency surgical revision was performed to evacuate the hematoma. The postoperative course was uneventful, with rapid recovery of liver function. To our knowledge, post-PD Budd-Chiari syndrome has never been described in the literature. CONCLUSION Acute liver failure in early post-PD should prompt investigation to rule out Budd-Chiari syndrome.BACKGROUND Pancreaticoduodenectomy(PD)-induced morbidity, consisting mainly of the pancreatic fistula and its hemorrhagic and infectious consequences, is well described in the literature, in terms of its definition, risk factors, preventive measures, and standardized management of complications. However, some lifethreatening complications remain atypical and undescribed. CASE SUMMARY We report here the case of a 69-year-old patient with Budd-Chiari syndrome that occurred after arterial embolization of postpancreatectomy hemorrhage. Diagnosis was established with biological findings(i.e., acute liver failure) and radiological findings(i.e., compressive hematoma of the retrohepatic vena cava). Emergency surgical revision was performed to evacuate the hematoma. The postoperative course was uneventful, with rapid recovery of liver function. To our knowledge, post-PD Budd-Chiari syndrome has never been described in the literature. CONCLUSION Acute liver failure in early post-PD should prompt investigation to rule out Budd-Chiari syndrome.

关 键 词：PANCREATICODUODENECTOMY PANCREATIC FISTULA Acute liver failure BUDD-CHIARI SYNDROME Case report 

分 类 号：R[医药卫生]