Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 6, 2024; 12(31): 6462-6471
Published online Nov 6, 2024. doi: 10.12998/wjcc.v12.i31.6462
Delayed postpancreatectomy hemorrhage as the role of endovascular approach: Four case reports
Igor Petrovic, Ivan Romic, Ana M Alduk, Nino Ticinovic, Oliver M Koltay, Klara Brekalo, Ante Bogut
Igor Petrovic, Department of Hepatobiliary Surgery and Transplantation, University Hospital Center Zagreb, Zagreb 10000, Croatia
Ivan Romic, Department of Surgery, University Hospital Centre Zagreb, Zagreb 10000, Croatia
Ana M Alduk, Department of Radiology, University of Zagreb School of Medicine, University Hospital Center Zagreb, Zagreb 10000, Croatia
Nino Ticinovic, Department of Radiology, University Hospital Centre Zagreb, Zagreb 10000, Croatia
Oliver M Koltay, Klara Brekalo, Department of Medical School, University of Zagreb, Zagreb 10000, Croatia
Ante Bogut, Department of Internal Medicine Clinic with Dialysis Center, University Clinical Hospital Mostar, Mostar 88000, Bosnia and Herzegovina
Author contributions: Petrovic I contributed to manuscript writing and editing; Romic I, Koltay OM and Brekalo K contributed to data collection and data analysis; Alduk AM contributed to conceptualization and supervision; Ticinovic N contributed to data collection and writing; Bogut A contributed to data collection and editing.
Informed consent statement: All patients gave informed consent for the publication of this manuscript.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ivan Romic, FEBS, Postdoc, Department of Surgery, University Hospital Centre Zagreb, Kispaticeva 14, Zagreb 10000, Croatia. iromic@kbc-zagreb.hr
Received: December 30, 2023
Revised: June 14, 2024
Accepted: August 20, 2024
Published online: November 6, 2024
Processing time: 221 Days and 8.8 Hours
Core Tip

Core Tip: Pancreatic resections are associated with specific complications and most feared one is hemorrhage due to erosion of large peripancreatic vessels. It is rare, but serious clinical scenario which should be considered in all cases of postoperative hemodynamic instability or pulsating pain even in late postoperative phase. Nowadays, embolization may be therapeutic option for many cases of postpancreatectomy hemorrhage and it provides quick hemostasis with minimal invasiveness. Surgery is reserved for massive uncontrollable hemorrhage or when embolization fails.