Extrahepatic collaterals and liver damage in embolotherapy for ruptured hepatic artery pseudoaneurysm following hepatobiliary pancreatic surgery

doi:10.3748/wjg.v13.i3.408

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Jan 21, 2007 (publication date) through Dec 1, 2024

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Jan 21, 2007; 13(3): 408-413
Published online Jan 21, 2007. doi: 10.3748/wjg.v13.i3.408

Table 1 Clinical characteristics of patients with ruptured hepatic artery pseudoaneurysms after hepatobiliary pancreatic surgery

Case	Age/	Underlying diseases	Surgical procedures	Hepatic	Postoperative	Postoperative	Clinical	Sentinel	Pseudoaneurysm
no.	sex			lobes	complications	interval	presentation	bleed	Location	size	Extra-
				mobilized		(d)				(cm)	vasation
1	75/M	Metastatic liver cancer	HTX (S7 + 8), BDR	R	None	256	Melena	No	PHA	2.7	Yes
2	74/M	Intrahepatic cholangiocarcinoma	HTX (S1 + 2 + 3 + 4), BDR	R&L	HJ leak	105	Hematemesis, shock	No	PHA	0.7	Yes
3	66/M	Hilar bile duct carcinoma	HTX (S1 + 2 + 3 + 4), PD	R&L	HJ leak	28	BFD, shock	Yes	PHA, RHA	2.2, 3.1	Yes
4	71/M	Hilar bile duct carcinoma	HTX (S1 + 2 + 3 + 4), BDR	L	HJ leak	19	BFD, shock	Yes	RHA	2.8	Yes
5	76/F	Intrahepatic cholangiocarcinoma	HTX (S1 + 2 + 3 + 4), BDR	L	None	17	Hematemesis, shock	No	PHA	1.5	Yes
6	72/M	Hilar bile duct carcinoma	HTX (S1 + 2 + 3 + 4), BDR	L	HJ leak	15	BFD	Yes	CHA	1.3	No
7	67/F	Gallbladder carcinoma	HTX (S4a + 5), PD	None	PJ leak	35	BFD	No	CHA	1.2	Yes
8	63/M	Ampullary carcinoma	PD	None	PJ leak	23	BFD, shock	Yes	CHA, RHA	1.5, 2.3	Yes
9	66/F	Ampullary carcinoma	PPPD	None	None	12	BFD, shock	Yes	CHA	0.8	No

HTX: hepatectomy; BDR: bile duct resection; S7 + 8: hepatic posterior inferior and superior segments; S1 + 2 + 3 + 4: caudate lobe and hepatic lateral and medial segments; S4a + 5: hepatic medial inferior and anteror inferior segments; PD: pancreaticoduodenectomy; PPPD: pylorus-preserving pancreaticoduodenectomy; R: right; L: left; HJ: hepaticojejunal anastomosis; PJ: pancreaticojejunal anastomosis; BFD: bleeding from drain; PHA: proper hepatic artery; RHA: right hepatic artery; CHA: common hepatic artery.

Citation: Tajima Y, Kuroki T, Tsutsumi R, Sakamoto I, Uetani M, Kanematsu T. Extrahepatic collaterals and liver damage in embolotherapy for ruptured hepatic artery pseudoaneurysm following hepatobiliary pancreatic surgery. World J Gastroenterol 2007; 13(3): 408-413
URL: https://www.wjgnet.com/1007-9327/full/v13/i3/408.htm
DOI: https://dx.doi.org/10.3748/wjg.v13.i3.408