Portal Vein Pseudoaneurysm: A Rare Complication of Post Pancreaticoduodenectomy Haemorrhage

• Main Authors: Ganesh Nagarajan, Aniruddha Kulkarni, Vijeth Rai, Kaushal Kundalia, Himanshu Pendse
• Format: Article
• Language: English
• Published: JCDR Research and Publications Private Limited 2018-11-01
• Series: Journal of Clinical and Diagnostic Research
• Subjects: pancreaticoduodenectomy; upper gastrointestinal bleed
• Online Access: https://jcdr.net/articles/PDF/12247/37852_CE[Ra1]_F(SHU)_PF1(AJ_SL)_PN(SHU).pdf

Pancreaticoduodenectomy is a complex procedure which is associated with high rates of mortality and morbidity. With the improvement of surgical techniques and skills the mortality rates have come down drastically but morbidity rates have remained constant. Haemorrhage after pancreaticoduodenectomy is a rare complication which is associated with increased mortality and morbidity rates. Gastroduodenal artery is the most common site for haemorrhage. Early haemorrhage is most often due to technical complications while late haemorrhage is due to the pancreatic leak. Surgery and endovascular repairs are the preferred option of treatment. Here, authors present a case of a 60-year-old lady who presented with an upper gastrointestinal bleed following pancreaticoduodenectomy, which was diagnosed as a portal vein pseudoaneurysm. She was treated with endovascular repair.