Fatal Necrotic Pancreatitis as a Rare Complication After Thoracoabdominal Aortic Surgery

Brülls, Christian; Dembinski, Rolf; Jacobs, Michael J.; Mahnken, Andreas H.; Rossaint, Rolf; Rex, Steffen

doi:10.1053/j.jvca.2009.01.019

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…However, this was an unreferenced statement, and the available evidence documenting hypotension‐induced pancreatitis in animals predominantly relates to experimental situations with severe induced hypotension (Mithöfer et al , ). In humans, ischaemic pancreatic damage from operative hypotension is generally only seen following very major surgeries such as organ transplantation and those requiring cardiopulmonary bypass (Londardo et al , Brülls et al ).…”

Section: Discussionmentioning

confidence: 99%

Pancreatic surgical biopsy in 24 dogs and 19 cats: postoperative complications and clinical relevance of histological findings

Pratschke

Ryan

McAlinden

et al. 2014

J of Small Animal Practice

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Complications may be encountered following surgical pancreatic biopsy, although the risk should be minimal with good surgical technique. Pancreatic biopsy may provide a useful contribution to case management but it is not clear whether a negative pancreatic biopsy should be used to rule out pancreatic disease. Dogs were more likely to have no significant pathology found on pancreatic biopsy than cats, where chronic pancreatitis was the most common finding.

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Section: Discussionmentioning

confidence: 99%

Pancreatic surgical biopsy in 24 dogs and 19 cats: postoperative complications and clinical relevance of histological findings

Pratschke

Ryan

McAlinden

et al. 2014

J of Small Animal Practice

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Two cases of pararenal artery aortic aneurysm treatment after pancreaticoduodenectomy and abdominal aortic aneurysm stent grafting

Yamazaki,

Minatoya,

Sakamoto

et al. 2024

surg case rep

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Background Acute pancreatitis caused by surgical procedures may occur less frequently in surgeries for aortic aneurysm involving the abdominal branch. However, in such cases, the associated mortality rate increases significantly. There have been few reports on abdominal aortic aneurysm surgery after pancreatoduodenectomy; as such the incidence of postoperative pancreatitis remains unclear. Case presentation Two cases of pararenal artery aortic aneurysm after pancreaticoduodenectomy and endovascular aneurysm repair (EVAR) for an abdominal aortic aneurysm are reported. In the first case, a 74-year-old man was diagnosed with abdominal aortic aneurysm and duodenal cancer 6 years earlier and underwent pancreaticoduodenectomy after EVAR. Subsequently, the abdominal aorta expanded to 58 mm at the level of the renal artery proximal to the EVAR site. Graft replacement was performed through a left thoraco-retroperitoneal incision. However, the patient died from acute pancreatitis, believed to be caused by intraoperative manipulation. Given this initial experience, in the second case, a 77-year-old man had undergone a pancreaticoduodenectomy for a gastrointestinal stromal tumor 17 years earlier and EVAR for an abdominal aortic aneurysm 10 years earlier. The abdominal aorta had expanded to 50 mm immediately below the right renal artery on the proximal side of the EVAR. Subsequently, hematuria was noted, and he was diagnosed with right ureteral cancer. Autologous transplantation of the left kidney and EVAR was performed avoiding manipulation of the area around the pancreas and achieved good results. Combined right renal and ureteral resections were performed 20 days after EVAR. Conclusions While performing aortic surgery after pancreaticoduodenectomy, surgeons should avoid manipulating tissues around the pancreas.

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Fatal Necrotic Pancreatitis as a Rare Complication After Thoracoabdominal Aortic Surgery

Cited by 2 publications

References 13 publications

Pancreatic surgical biopsy in 24 dogs and 19 cats: postoperative complications and clinical relevance of histological findings

Pancreatic surgical biopsy in 24 dogs and 19 cats: postoperative complications and clinical relevance of histological findings

Two cases of pararenal artery aortic aneurysm treatment after pancreaticoduodenectomy and abdominal aortic aneurysm stent grafting

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