Iranian Journal of Radiology

Published by: Kowsar

Delayed Pseudoaneurysm Rupture and Management After Covered Stent Placement for Post Pancreaticoduodenectomy Hemorrhage: A Case Report

Ho-Hsian Yen 1 , 2 , Chien-An Liu 1 , 2 , * , Hsiou-Shan Tseng 1 , 2 and I-Ming Chen 3 , 2
Authors Information
1 Department of Radiology, Taipei Veterans General Hospital, Taipei City, Taiwan
2 School of Medicine, National Yang-Ming University, Taipei, Taiwan
3 Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei City, Taiwan
Article information
  • Iranian Journal of Radiology: October 2017, 14 (4); e14312
  • Published Online: June 10, 2017
  • Article Type: Case Report
  • Received: October 4, 2016
  • Revised: January 23, 2017
  • Accepted: March 8, 2017
  • DOI: 10.5812/iranjradiol.14312

To Cite: Yen H, Liu C, Tseng H, Chen I. Delayed Pseudoaneurysm Rupture and Management After Covered Stent Placement for Post Pancreaticoduodenectomy Hemorrhage: A Case Report, Iran J Radiol. 2017 ; 14(4):e14312. doi: 10.5812/iranjradiol.14312.

Copyright © 2017, Iranian Journal of Radiology. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Introduction
2. Case Presentation
3. Discussion
  • 1. Wei HK, Wang SE, Shyr YM, Tseng HS, Tsai WC, Chen TH, et al. Risk factors for post-pancreaticoduodenectomy bleeding and finding an innovative approach to treatment. Dig Surg. 2009;26(4):297-305. doi: 10.1159/000228245. [PubMed: 19602889].
  • 2. Feng J, Chen YL, Dong JH, Chen MY, Cai SW, Huang ZQ. Post-pancreaticoduodenectomy hemorrhage: risk factors, managements and outcomes. Hepatobiliary Pancreat Dis Int. 2014;13(5):513-22. doi: 10.1016/S1499-3872(14)60276-9. [PubMed: 25308362].
  • 3. Eyheremendy EP, Mendez P, McCormack L, Primo JC, Montano Y, Sierre S. [Endovascular treatment of an hepatic artery pseudoaneurysm following pancreaticoduodenectomy]. Acta Gastroenterol Latinoam. 2015;45(1):80-4. [PubMed: 26076520].
  • 4. Huo Y, Chi J, Zhang J, Liu W, Liu D, Li J, et al. Endovascular intervention for delayed post-pancreaticoduodenectomy hemorrhage: clinical features and outcomes of transcatheter arterial embolization and covered stent placement. Int J Clin Exp Med. 2015;8(5):7457-66. [PubMed: 26221289].
  • 5. Iswanto S, Nussbaum ML. Hepatic artery pseudoaneurysm after surgical treatment for pancreatic cancer: minimally invasive angiographic techniques as the preferred treatment. N Am J Med Sci. 2014;6(6):287-90. doi: 10.4103/1947-2714.134377. [PubMed: 25006566].
  • 6. Lim SJ, Park KB, Hyun DH, Do YS, Park HS, Shin SW, et al. Stent graft placement for postsurgical hemorrhage from the hepatic artery: clinical outcome and CT findings. J Vasc Interv Radiol. 2014;25(10):1539-48. doi: 10.1016/j.jvir.2014.06.023. [PubMed: 25149115].
  • 7. Narumi S, Hakamda K, Toyoki Y, Noda H, Sato T, Morohashi H, et al. Endovascular treatment of life-threatening pseudoaneurysm of the hepatic artery after pancreaticoduodenectomy. Hepatogastroenterology. 2007;54(79):2152-4. [PubMed: 18251179].
  • 8. Robinson K, Rajebi MR, Zimmerman N, Zeinati C. Post-pancreaticoduodenectomy hemorrhage of unusual origin: treatment with endovascular embolization and the value of preoperative CT angiography. J Radiol Case Rep. 2013;7(4):29-36. doi: 10.3941/jrcr.v7i4.1254. [PubMed: 23705050].
  • 9. Ellison EC. Evidence-based management of hemorrhage after pancreaticoduodenectomy. Am J Surg. 2007;194(1):10-2. doi: 10.1016/j.amjsurg.2006.12.034. [PubMed: 17560901].
  • 10. Wente MN, Veit JA, Bassi C, Dervenis C, Fingerhut A, Gouma DJ, et al. Postpancreatectomy hemorrhage (PPH): an International Study Group of Pancreatic Surgery (ISGPS) definition. Surgery. 2007;142(1):20-5. doi: 10.1016/j.surg.2007.02.001. [PubMed: 17629996].
  • 11. Caruso M, Evola S, Fattouch K, Bracale UM, Incalcaterra E, La Franca E, et al. Chest pain due to late huge coronary pseudoaneurysm following stent implantation. Intern Med. 2011;50(6):577-9. doi: 10.2169/internalmedicine.50.4566. [PubMed: 21422681].
  • 12. Demir S, Parildar M, Oran I, Memis A. [Stent originating pseudoaneurysm: endovascular treatment of a rare complication with hemobahn-covered stent (case report)]. Tani Girisim Radyol. 2003;9(4):462-5. [PubMed: 14730957].
  • 13. Kishi K, Hiasa Y, Takahashi T. Delayed development of a giant coronary pseudoaneurysm after stent placement for chronic total occlusion. J Invasive Cardiol. 2003;15(5):273-6. [PubMed: 12730637].
  • 14. Sequeira A, Artikov S, Abreo K. Stent strut protrusion--an uncommon complication of stent placement in a fistula. Semin Dial. 2014;27(5):529-32. doi: 10.1111/sdi.12193. [PubMed: 24438105].
  • 15. Dubois M, Daenens K, Houthoofd S, Peetermans WE, Fourneau I. Treatment of mycotic aneurysms with involvement of the abdominal aorta: single-centre experience in 44 consecutive cases. Eur J Vasc Endovasc Surg. 2010;40(4):450-6. doi: 10.1016/j.ejvs.2010.07.017. [PubMed: 20719550].
  • 16. Sorelius K, Mani K, Bjorck M, Sedivy P, Wahlgren CM, Taylor P, et al. Endovascular treatment of mycotic aortic aneurysms: a European multicenter study. Circulation. 2014;130(24):2136-42. doi: 10.1161/CIRCULATIONAHA.114.009481. [PubMed: 25378548].
  • 17. Kan CD, Lee HL, Yang YJ. Outcome after endovascular stent graft treatment for mycotic aortic aneurysm: a systematic review. J Vasc Surg. 2007;46(5):906-12. doi: 10.1016/j.jvs.2007.07.025. [PubMed: 17905558].

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