scholarly journals Pancreatic pseudoaneurysm and its conundrum

2021 ◽  
Vol 8 (12) ◽  
pp. 3745
Author(s):  
Girish Bakhshi ◽  
Sushrut Baligar ◽  
Aishwarya Dutt ◽  
Rajalakshmi Venkateswaran ◽  
Avinash Gutte ◽  
...  

Rupture of visceral artery pseudoaneurysm can lead to hypovolemic shock in a patient with pancreatitis. With the advent of minimally invasive treatment techniques most of these can be managed by minimally invasive route and have excellent prognosis when timely intervention is initiated. Herewith, we reported a case of ruptured pseudoaneurysm of superior pancreaticoduodenal artery in a patient with pancreatitis who presented with haematemesis. The patient was successfully managed with coil embolization. A brief case report with review of literature is presented here.

2019 ◽  
Vol 98 (6) ◽  
pp. 256-259

Introduction: This case report describes bleeding from an iatrogenic thoracic aortic injury in minimally invasive thoracoscopic esophagectomy. Case report: A 53-year-old man underwent neoadjuvant radiochemotherapy for adenocarcinoma of the esophagus with positive lymph nodes. PET/CT showed only a partial response after neoadjuvant therapy. Minimally invasive thoracoscopic esophagectomy in the semi-prone position with selective intuba- tion of the left lung was performed. However, massive bleeding from the thoracic aorta during separation of the tumor resulted in conversion from minimally invasive to conventional right thoracotomy. The bleeding was caused by a five millimeter rupture of the thoracic aorta. The thoracic aortic rupture was treated by suture with a gore prosthesis in collaboration with a vascular surgeon. Esophagestomy was not completed due to hypovolemic shock. Hybrid transhiatal esophagectomy was performed on the seventh day after the primary operation. Definitive histological examination showed T3N3M0 adenocarcinoma. Conclusion: Esophagectomy for cancer of the esophagus is one of the most difficult operations in general surgery in which surgical bleeding from the surrounding structures cannot be excluded. Aortic hemorrhage is hemodynamically significant in all cases and requires urgent surgical treatment.


2021 ◽  
pp. 102451
Author(s):  
Thanh Khiem Nguyen ◽  
Tuan Hiep Luong ◽  
Ngoc Cuong Nguyen ◽  
Ham Hoi Nguyen ◽  
Ngoc Hung Nguyen ◽  
...  

Medwave ◽  
2017 ◽  
Vol 17 (01) ◽  
pp. e6859-e6859
Author(s):  
Andrea Barrueto Barrera ◽  
Sofia Santelices Baeza ◽  
Francisco Miranda Labra ◽  
David Schnettler Rodríguez

2020 ◽  
Vol 92 (4) ◽  
Author(s):  
Ahmad Beltagy ◽  
Mohamed Elsaqa ◽  
Islam Koraiem ◽  
Ahmed Abulfotooh Eid

Hematuria is a critical symptom that should properly be investigated. One of the rare causes is renal papillary hypertrophy. Literature review revealed only few reported cases. Biopsy in reported cases has shown hyperplasia of renal papillae with normal histology. We report a case of bilateral renal papillary hypertrophy in a 32 years old female presented with intermittent gross hematuria. Computed tomgraphy urography, cystoscopy and selective cytology did not show any positive findings. Retrograde flexible uretero-renoscopy showed enlarged renal papillae protruding into upper and middle calyces of both kidneys with clots and active bleeding in some. Holmium:YAG Laser ablation of hypertrophic papillae showed an effective minimally invasive management of the condition.


2021 ◽  
Vol 0 ◽  
pp. 0-0
Author(s):  
Luis Daniel Diaz-Aguilar ◽  
Omron Hassan ◽  
Martin H. Pham

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