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Case Report
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| Therapeutic angioembolization of bleeding pancreaticoduodenal artery pseudoaneurysm following laparoscopy assisted Frey's procedure | ||||||
| J Saravanan1, R Sukumar2, S Jeswanth1, P Ravichandran1 | ||||||
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1Institute of Surgical Gastroenterology & Liver Transplantation, Centre for GI Bleed, Division of HPB diseases, Stanley Medical College Hospital, Old Jail Road, Chennai, India.
2Department of Interventional Radiology, Institute of Surgical Gastroenterology & Liver Transplantation, Centre for GI Bleed, Division of HPB diseases, Stanley Medical College Hospital, Old Jail Road, Chennai, India. | ||||||
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| How to cite this article: |
| Saravanan J, Sukumar R, Jeswanth S, Ravichandran P. Therapeutic angioembolization of bleeding pancreaticoduodenal artery pseudoaneurysm following laparoscopy assisted Frey's procedure. International Journal of Case Reports and Images 2013;4(5):275–278. |
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Abstract
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Introduction:
Minimal access surgery has revolutionized surgery and is considered the gold standard of management for most surgical pathologies of the abdomen. We present a case which to our best knowledge is the first ever report of the non-surgical management of a pancreaticoduodenal artery (PDA) pseudo-aneurysm following laparoscopy assisted Frey's procedure (LAFP).
Case Report: A 38-year-old male patient was transferred to our hospital due to persistent gastrointestinal bleeding following LAFP. He underwent LAFP for chronic calcific pancreatitis (CCP) two weeks prior to his transfer. Computed tomography angiogram showed the source of bleeding to be a branch of superior pancreaticoduodenal artery (SPDA). The patient was taken to interventional radiology where successful superselective microcoil embolization was performed. We present this rare case of pancreaticoduodenal pseudoaneurysm along with a review of medical literature. Conclusion: A prudent selection of the operative candidate for laparoscopic pancreatic surgery and a high degree of vigilance is imperative to circumvent avoidable morbidity and mortality. | |
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Keywords:
Laparoscopy, Frey's procedure, Complications, Pancreaticoduodenal artery, Gastrointestinal bleeding, Angiography, Pseudoaneurysm
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Author Contributions
J Saravanan – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published R Sukumar – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published S Jeswanth – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published P Ravichandran – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© J Saravanan et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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