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Biliary Ischemia Following Embolization of a Pseudoaneurysm after Pancreaticoduodenectomy

Aim To report an uncommon consequence of hepatic artery occlusion in the management of a bleeding pseudoaneurysm following pancreaticoduodenectomy. Imaging Analysis of a case involving a single patient in which a bleeding pseudoaneurysm of the gastroduodenal arterial stump following pancreaticoduodenectomy was treated by transcatheter arterial embolization. Case report Effective hemostasis necessitated interruption of the hepatic arterial flow and was complicated by biliary ischemia and intrahepatic biloma. Conclusion Transarterial embolization of the hepatic artery following  ancreaticoduodenectomy can result in biliary ischemia and biloma formation.


Roger Noun, Smart Zeidan, Carla Tohme-Noun, Tarek Smayra, Raymond Sayegh

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