A case of successful radical surgical treatment of chronic pancreatitis complicated by a giant pseudoaneurysm of the common hepatic artery

A.V. Vorobei; A.Ch. Shuleika; Y.I. Vizhinis; G.A. Popel; S.V. Shkurin; D.V. Chaka

doi:10.22141/1997-2938.1.32.2017.98507

A case of successful radical surgical treatment of chronic pancreatitis complicated by a giant pseudoaneurysm of the common hepatic artery

A.V. Vorobei, A.Ch. Shuleika, Y.I. Vizhinis, G.A. Popel, S.V. Shkurin, D.V. Chaka

Abstract

The paper deals with a case report of a female patient with chronic pancreatitis complicated by common hepatic artery pseudoaneurysm, rarely occurred. During the early postoperative period we observed some serious complication that required four operations. The treatment regimen included reconstructive surgical interventions using damage control techniques that allowed achieve positive effect patient.

Keywords

chronic pancreatitis; surgical treatment; common hepatic artery pseudoaneurysm; damage control

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References

Кригер А.Г. Ложные аневризмы артерий бассейна чревного ствола у больных хроническим панкреатитом / А.Г. Кригер, Л.С. Коков, Г.Г. Кармазановский, Г.И. Кунцевич, В.Д. Федоров, П.Б. Барбин, Н.В. Тарбаева // Хирургия. — 2008. — Т. 12. — С. 17-23.

Воробей А.В. Неязвенные гастроинтестинальные кровотечения / А.В. Воробей, В.В. Климович. — Минск: Полипринт, 2008. — C. 228.

Покровский А.В. Клиническая ангиология. Руководство в 2 томах. — М.: Медицина, 2004. — Т. 2. — С. 127-128.

Bergert H. Prevalence and treatment of bleeding complications in chronic pancreatitis / H. Bergert, F. Dobrowolski, S. Caffier et al. // Langenbecks. Arch. Surg. — 2004. — № 389. — P. 504-510.

Sparrow P. Ultrasonic-Guided Percutaneous Injection of Pancreatic Pseudoaneurysm with Thrombin / P. Sparrow, J. Asquith, N. Chalmers // Cardiovasc. Int Radiol. — 2003. — № 26. — P. 312-315.

Sharma P. Hemorrhage in acute pancreatitis: should gastrointestinal bleeding be considered an organ failure? / P. Sharma, K. Madan, P. Garg // Pancreas. — 2008. — № 36. — P. 141-145.

Kiviluoto T. Pseudocysts in chronic pancreatitis. Surgical results in 102 consecutive patients / T. Kiviluoto, L. Kivisaari, E. Kivilaakso, M. Lempinen // Arch. Surg. — 1989. — № 124. — P. 240-243.

Udd M. Treatment of bleeding pseudoaneurysms in patients with chronic pancreatitis / M. Udd, A.K. Leppäniemi, S. Bidel, P. Keto et al. // World J. Surg. — 2007. — № 31. — P. 504-510.

Balachandra S. Systematic appraisal of the management of the major vascular complications of pancreatitis / S. Balachandra, A.K. Siriwardena // Am. J. Surg. — 2005. — № 190. — P. 489-495.

Moringhini A. Pseudocysts in acute non-alcoholic pancreatitis: incidence and natural history / A. Moringhini, G. Uomo, R. Patti // Dg. Dis. Sci. — 1999. — № 44. — P. 1669-1673.

Ido К. Case of hemorrhagic pancreatic pseudocyst in which ultrasound imaging was useful / К. Ido, К. Isobe, К. Kimura et al. // Med. Ultrasonics. — 2004. — № 31. — P. 41-45.

Kane M.G. Pancreatic pseudocyst / M.G. Kane, G.J. Krejs // Adv. Intern. Med. — 1984. — № 29. — P. 271-300.

Chen H.L. Ruptured Pancreaticoduodenal Artery Pseudoaneurysm with Chronic Pancreatitis Presenting as Recurrent Upper Gastrointestinal Bleeding / H.L. Chen, W.H. Chang, S.C. Shih et al. // Dig. Dis. Sci. — 2006.

Ikeda О. Hemorrhage into pancreatic pseudocyst / О. Ikeda, S. Кirе, Y. Torigoe et al. // Abdom. Imaging. — 2006. — № 20. — P. 1-4.

Fukatsu K. A case of chronic pancreatitis in which endoscopic ultrasonography was effective in the diagnosis of a pseudoaneurysm / K. Fukatsu, K. Ueda, H. Maeda et al. // World J. Gastrointest. Endosc. — 2012. — № 4. — P. 335-338.

Balthazar E.J. Hemorrhagic complications of pancreatitis: radiologic evaluation with emphasis on CT imaging / E.J. Balthazar, L.A. Fisher // Pancreatology. — 2001. — № 1. — P. 306-313.

Bergert H. Management and outcome of hemorrhage due to arterial pseudoaneurysms in pancreatitis / H. Bergert, I. Hinterseher, S. Kersting et al. // Surgery. — 2005. — № 137. — P. 323-328.

De Perrot M. Management of bleeding pseudoaneurysms in patients with pancreatitis / M. De Perrot, T. Berney, L. Bühler et al. // Br. J. Surg. — 1999. — № 86. — P. 29-32.

Bhasin D.K. Non-surgical management of pancreatic pseudocysts associated with arterial pseudoaneurysm / D.K. Bhasin, S.S. Rana, V. Sharma et al. // Pancreatology. — 2013. — № 13. — P. 250-253.

Chong C.N. Ruptured gastroduodenal artery pseudoaneurysm as the initial presentation of chronic pancreatitis / C.N. Chong, K.F. Lee, K.T. Wong et al. // Am. J. Surg. — 2009. — № 197. — P. 38-40.

Rotondo M.F. Damage Control — an approach for improved survival in exsanguinating penetrating abdominal injury / M.F. Rotondo, C.W. Schwab, M.D. McGonigal et al. // J. Trauma. — 1993. — № 35. — P. 375-382.

Germanos S. Damage control surgery in the abdomen: an approach for the management of severe injured patients / S. Gourgiotis, C. Villias, M. Bertucci et al. // Int. J. Surg. — 2008 Jun. — № 6(3). — P. 246-52.

DOI: https://doi.org/10.22141/1997-2938.1.32.2017.98507

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