Endovascular management of bleeding events after robotic pancreaticobiliary surgery

Gaba, Ron C.; Khiatani, Vishal; Knuttinen, M-Grace; Omene, Benedictta O.; Martinez, Brandon K.; Bui, James T.; Owens, Charles

doi:10.4261/1305-3825.dir.4260-11.1

Cited by 3 publications

(1 citation statement)

References 21 publications

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“…Where possible, bleeding vessels should be embolised 13. Recent studies have shown embolisation to be successful in the treatment of ruptured aneuryms secondary to pancreatitis14 and in post-operative bleeding events 15. Only tertiary centres provide this service; fast diagnosis and transfer from district general hospitals are therefore indicated.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous mesenteric haematoma; diagnosis and management: Figure 1

Parker

Thompson

2012

BMJ Case Reports

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SummarySpontaneous mesenteric haematomas are rare. They have been reported to be associated with coagulopathies, connective tissue disorders, past trauma, arteriopathy and pancreatitis. However, some cases have been reported in which there is no apparent underlying aetiology. Here we report such a case and we review the literature that discusses optimal diagnosis and management. In this case, spontaneous haemostasis occurred by intra-abdominal tamponade and the regression of the haematoma was monitored with regular imaging. BACKGROUND

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Section: Discussionmentioning

confidence: 99%

Spontaneous mesenteric haematoma; diagnosis and management: Figure 1

Parker

Thompson

2012

BMJ Case Reports

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Imagerie postopératoire du pancréas et du duodénum

Sibileau¹,

Loriau²,

Boulay-Coletta³

et al. 2013

EMC - Radiologie et imagerie médicale - Abdominale - Digestive

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Idiopathic spontaneous lesser sac haematoma: a perplexing case of abdominal apoplexy

Cunha¹,

Narayanan

Marimuthu

et al. 2017

BMJ Case Reports

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A 37-year-old woman presented with a 3-hour history of back pain, nausea and vomiting and an episode of syncope. A fluid collection in the lesser sac was detected on ultrasound and CT scan. Emergency laparoscopy and subsequent laparotomy were performed and a large blood clot was evacuated from the lesser sac. No identifiable source or predisposition to bleeding was found. She made a full recovery postoperatively. There are few reported cases of spontaneous intraperitoneal haemorrhage. In a third of cases, there is no identifiable source of bleeding. Unfortunately, patients present late with non-specific symptoms and a prompt diagnosis is difficult to make. The case reiterates the importance of awareness of lesser sac haematoma formation; an unusual clinical entity with a high morbidity and mortality rate. A high index of suspicion, radiological adjuncts and appropriate surgical intervention, especially in unstable patients, is essential for a good outcome.

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Endovascular management of bleeding events after robotic pancreaticobiliary surgery

Abstract: CONCLUSION Endovascular therapy provides a minimally invasive, safe, and effective method for managing hemorrhagic events after complicated pancreaticobiliary surgery.

Cited by 3 publications

References 21 publications

Spontaneous mesenteric haematoma; diagnosis and management: Figure 1

Spontaneous mesenteric haematoma; diagnosis and management: Figure 1

Imagerie postopératoire du pancréas et du duodénum

Idiopathic spontaneous lesser sac haematoma: a perplexing case of abdominal apoplexy

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