Semin intervent Radiol 2007; 24(3): 341-345
DOI: 10.1055/s-2007-985748
Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Portal Vein Pseudoaneurysm with Portoenteric Fistula: An Unusual Cause for Massive Gastrointestinal Hemorrhage

Charles T. Burke1 , Jin Park1
  • 1Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
Further Information

Publication History

Publication Date:
03 September 2007 (online)

ABSTRACT

Pancreaticoduodenectomy (Whipple's procedure) is a commonly performed procedure for the treatment of pancreatic malignancies. Postoperative bleeding from adjacent arteries is a well-established complication of this procedure. This article describes an unusual case of massive gastrointestinal bleeding following pancreaticoduodenectomy due to the development of a portal vein pseudoaneurysm with a portoenteric fistula. The diagnosis was confirmed with multidetector computed tomography angiography; the different endovascular treatment options are discussed.

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Charles T BurkeM.D. 

Department of Radiology, CB#7510, 101 Manning Drive

Chapel Hill, NC 27599-7510