Delayed postpancreatectomy hemorrhage as the role of endovascular approach:Four case reports  

作　　者：Igor Petrovic Ivan Romic Ana M Alduk Nino Ticinovic Oliver M Koltay Klara Brekalo Ante Bogut 

机构地区：[1]Department of Hepatobiliary Surgery and Transplantation,University Hospital Center Zagreb,Zagreb 10000,Croatia [2]Department of Surgery,University Hospital Centre Zagreb,Zagreb 10000,Croatia [3]Department of Radiology,University of Zagreb School of Medicine,University Hospital Center Zagreb,Zagreb 10000,Croatia [4]Department of Radiology,University Hospital Centre Zagreb,Zagreb 10000,Croatia [5]Department of Medical School,University of Zagreb,Zagreb 10000,Croatia [6]Department of Internal Medicine Clinic with Dialysis Center,University Clinical Hospital Mostar,Mostar 88000,Bosnia and Herzegovina

出　　处：《World Journal of Clinical Cases》2024年第31期6462-6471,共10页世界临床病例杂志

摘　　要：BACKGROUND Pancreatic resection is still associated with high morbidity rates and delayed postpancreatectomy hemorrhage(PPH)is the most feared complication as it may lead to hemorrhagic shock or serious septic complications.Today,endovascular approach represent safe and efficient method for minimally invasive management of extraluminal PPH.CASE SUMMARY We describe four patients whose postoperative recovery after pancreatic resection was complicated by postoperative pancreatic fistula(POPF)and visceral artery hemorrhage.In all cases endovascular approach was utilized and it resulted in satisfactory outcomes.We discuss modern diagnostic and therapeutic approach in this clinical scenario.CONCLUSION PPH is relatively uncommon,but it is a leading cause of surgical mortality after pancreatic surgery.Careful monitoring and meticulous follow-up are required for all patients post-operatively,especially in the case of confirmed POPF,which is the most significant risk factor for the development of a PPH.Angiography as a diagnostic and therapeutic method may be an optimal first-line treatment for the management of delayed PPHs.In our experience,endovascular treatment for hemorrhagic complications of pancreatic resections has shown satisfactory results.

关 键 词：PANCREAS RESECTION HEMORRHAGE ANGIOGRAPHY EMBOLIZATION Surgery Case report 

分 类 号：R714.255[医药卫生—妇产科学]