Rare Cause of Severe Gastro-intestinal Haemorrhage

Gordon‐Taylor, Gordon

doi:10.1136/bmj.1.4294.504

Cited by 34 publications

(7 citation statements)

References 1 publication

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“…The so-called accessory hepatic artery (which 276 is present in about 30% of cases) would in the light of present knowledge of liver architecture be better called an aberrant end-artery. Gordon-Taylor (1943) states that "it is an unpalatable truth that in man, ligation of the hepatic artery or its main branches is an operation fraught with peril to life". However, aneurysms proximal to the gastroduodenal branch have an effective collateral circulation, and ligation carries a reasonably good prognosis, especially when antibiotics are also administered.…”

Section: Treatmentmentioning

confidence: 99%

Traumatic False Aneurysm of the Right Hepatic Artery: An Unusual Complication of Cholecystectomy

Andersen

1971

Australian and New Zealand Journal of Surgery

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Section: Treatmentmentioning

confidence: 99%

Traumatic False Aneurysm of the Right Hepatic Artery: An Unusual Complication of Cholecystectomy

Andersen

1971

Australian and New Zealand Journal of Surgery

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“…Damage and invasion of HA by pathological processes such as infections and tumors may be another form of trauma. However, such injuries and interruption of HA blood flow cause less liver damage with collaterals and compensation mechanisms that come into play when developing in a chronic process[ 10 , 11 , 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…In autopsy studies, it has been stated that deaths seen as a result of HA injury are mainly due to liver necrosis. Necrosis that occurs in the liver is diffuse or patchy[ 2 , 3 , 11 ]. Better results are obtained today with a better understanding of liver physiology, antibiotics, and improved intensive care conditions.…”

Section: Introductionmentioning

confidence: 99%

Dealing with hepatic artery traumas: A clinical literature review

Dılek¹,

Atay²

2021

WJCC

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BACKGROUND The hepatic artery (HA) is one of the most threatened vascular structures during hepatopancreatobiliary (HPB) surgeries and interventional procedures. It can be affected by many clinical pictures, especially tumors, due to its anatomical position and neighborhood. AIM To reveal the evolution and recent developments in the management of HA traumas in the light of the literature. METHODS In this article, 100 years of MEDLINE (PubMed) literature and articles including cases and series of HA injuries were reviewed, and the types of injury occurrence, treatment, and related complications and their management were compiled. RESULTS The risk of HA injury increases during cholecystectomies and pancreatoduodenectomies, among the most common operations. HA anatomy shows anomalies in approximately 15%-25% of the cases, further increasing this risk. The incidence of HA injury is not precisely known. Approaches that have evolved in recent years in managing patients with HA injury (laceration, transection, ligation, resection) with severe morbidity and mortality risk are reviewed in light of the current literature. CONCLUSION In conclusion, complications and deaths due to HA injury are less common today. The risk of complications increases in patients with hemodynamic instability, jaundice, cholangitis, and sepsis. Revealing the variations in the preoperative radiological evaluation will reduce the risks. In cases where HA injury is detected, arterial flow continuity should be tried to maintain with primary anastomosis, arterial transpositions, or grafts. In cases where bile duct injury develops, patients should be directed to HPB surgery centers, considering the possibility of accompanying HA injury. Large-scale and multicentric studies are needed to understand better the early and long-term results of HA ligation and determine preventive procedures.

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“…Other help in diagnosis may be given by the mechan ical effects of the expanding aneurysm. There is the possibility of obstructive jaundice, by the compression of the common bile duct [7,11], of obstructive uropathy, of a simulated perinephric abscess or even hematuria [7,II,19,20], The hydro-ureter of our 4th case was caused by pressure of the aneurysm.…”

Section: Discussionmentioning

confidence: 99%

Gastro-Intestinal Bleeding Due to Arterio-Enteric Fistula

Schramek¹,

Weisz²,

Erlik³

1971

Digestion

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This article deals with the problem of gastro-intestinal bleeding due to aorto-enteric fistulisation. Four such cases are presented, with connection to different parts of the gastro-intestinal tract, in the thorax and the abdomen. An until now unpublished localisation, that into the coecum, is presented. The description of the symptomatology and a survey of the literature are given. The importance of an existent time interval between the first and the fatal, last hemorrhage is emphasized, an interval thatallows life saving corrective aortic surgery.

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Rare Cause of Severe Gastro-intestinal Haemorrhage

Cited by 34 publications

References 1 publication

Traumatic False Aneurysm of the Right Hepatic Artery: An Unusual Complication of Cholecystectomy

Traumatic False Aneurysm of the Right Hepatic Artery: An Unusual Complication of Cholecystectomy

Dealing with hepatic artery traumas: A clinical literature review

Gastro-Intestinal Bleeding Due to Arterio-Enteric Fistula

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