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Damage control surgery in patient with delayed rupture of pseudoaneurysm after blunt abdominal trauma
Delayed rupture of post-traumatic pseudoaneurysms of the visceral arteries, especially the pancreaticoduodenal artery, is uncommon. Here, we describe a 55-year-old man hemorrhaging from a pseudoaneurysm of the inferior pancreaticoduodenal artery (IPDA). Computed tomography of the abdomen showed acti...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Surgical Society
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3412185/ https://www.ncbi.nlm.nih.gov/pubmed/22880189 http://dx.doi.org/10.4174/jkss.2012.83.2.119 |
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author | Park, Chan Yong Ju, Jae Kyun Kim, Jung Chul |
author_facet | Park, Chan Yong Ju, Jae Kyun Kim, Jung Chul |
author_sort | Park, Chan Yong |
collection | PubMed |
description | Delayed rupture of post-traumatic pseudoaneurysms of the visceral arteries, especially the pancreaticoduodenal artery, is uncommon. Here, we describe a 55-year-old man hemorrhaging from a pseudoaneurysm of the inferior pancreaticoduodenal artery (IPDA). Computed tomography of the abdomen showed active bleeding in the IPDA and large amounts of hemoperitoneum and hemoretroperitoneum. Selective mesenteric angiography showed that the pseudoaneurysm arose from the IPDA, and treatment by angioembolization failed because the involved artery was too tortuous to fit with a catheter. Damage control surgery with surgical ligation and pad packing was successfully performed. The patient had an uncomplicated postoperative course and was discharged 19 days after the operation. To our knowledge, this is the first report of ruptured pseudoaneurysm of an IPDA after blunt abdominal trauma from Korea. |
format | Online Article Text |
id | pubmed-3412185 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | The Korean Surgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-34121852012-08-09 Damage control surgery in patient with delayed rupture of pseudoaneurysm after blunt abdominal trauma Park, Chan Yong Ju, Jae Kyun Kim, Jung Chul J Korean Surg Soc Case Report Delayed rupture of post-traumatic pseudoaneurysms of the visceral arteries, especially the pancreaticoduodenal artery, is uncommon. Here, we describe a 55-year-old man hemorrhaging from a pseudoaneurysm of the inferior pancreaticoduodenal artery (IPDA). Computed tomography of the abdomen showed active bleeding in the IPDA and large amounts of hemoperitoneum and hemoretroperitoneum. Selective mesenteric angiography showed that the pseudoaneurysm arose from the IPDA, and treatment by angioembolization failed because the involved artery was too tortuous to fit with a catheter. Damage control surgery with surgical ligation and pad packing was successfully performed. The patient had an uncomplicated postoperative course and was discharged 19 days after the operation. To our knowledge, this is the first report of ruptured pseudoaneurysm of an IPDA after blunt abdominal trauma from Korea. The Korean Surgical Society 2012-08 2012-07-25 /pmc/articles/PMC3412185/ /pubmed/22880189 http://dx.doi.org/10.4174/jkss.2012.83.2.119 Text en Copyright © 2012, the Korean Surgical Society http://creativecommons.org/licenses/by-nc/3.0 Journal of the Korean Surgical Society is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Park, Chan Yong Ju, Jae Kyun Kim, Jung Chul Damage control surgery in patient with delayed rupture of pseudoaneurysm after blunt abdominal trauma |
title | Damage control surgery in patient with delayed rupture of pseudoaneurysm after blunt abdominal trauma |
title_full | Damage control surgery in patient with delayed rupture of pseudoaneurysm after blunt abdominal trauma |
title_fullStr | Damage control surgery in patient with delayed rupture of pseudoaneurysm after blunt abdominal trauma |
title_full_unstemmed | Damage control surgery in patient with delayed rupture of pseudoaneurysm after blunt abdominal trauma |
title_short | Damage control surgery in patient with delayed rupture of pseudoaneurysm after blunt abdominal trauma |
title_sort | damage control surgery in patient with delayed rupture of pseudoaneurysm after blunt abdominal trauma |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3412185/ https://www.ncbi.nlm.nih.gov/pubmed/22880189 http://dx.doi.org/10.4174/jkss.2012.83.2.119 |
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