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- W3143154239 abstract "Introduction: Hemorrhage from anastomotic varices after choledochojejunostmy is one of a rare complication after pancreatodudenectomy. We report a case of an effectiveness of partial splenic embolization for hemorrhage from anastomotic varices after choledochojejunostmy. Case presentation: An 85-year-old woman was diagnosed locally advanced pancreatic carcinoma contact with superior mesenteric artery and portal vein. She underwent subtotal stomach-preserving pancreatodudenectomy (SSPPD) with portal vein resection and anastomosis after chemoradiotherapy. Her postoperative course was uneventful, however, she was admitted to our hospital with anemia and melena on postoperative 3 month. Computed tomography showed an obstructed portal vein anastomosis and a formation of collaterals adjacent to the choledochojejunostomy. Double balloon endoscopy showed varices around the choledochojejunostomy site, we diagnosed hemorrhage from the varices. We could not perform endoscopic therapy because it was a difficult procedure. Therefore, we performed partial splenic embolization (PSE) to reduce portal hypertension and control the hemorrhage. After the PSE, she had no anemia and melena. Conclusion: Ectopic varices hemorrhage caused by extrahepatic portal vein obstruction after an intraperitoneal surgery is one of a lethal complication, early detection of the hemorrhage source and its treatment could be difficult. No guideline for varices hemorrhage around choledochojejunostomy site is established. It is worth considering that PSE might be one of a treatment for the varices hemorrhage." @default.
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- W3143154239 date "2021-01-01" @default.
- W3143154239 modified "2023-09-29" @default.
- W3143154239 title "An effectiveness of partial splenic embolization for hemorrhage from anastomotic varices after choledochojejunostmy: a case report" @default.
- W3143154239 doi "https://doi.org/10.1016/j.hpb.2020.11.830" @default.
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