An unusual case of late gastrointestinal bleeding after pancreatoduodenectomy

Benjamin J Rejowski; Rosalie A Fillenwarth; Patrick B White; Nicholas J Zyromski

doi:10.1016/j.pan.2013.11.008

An unusual case of late gastrointestinal bleeding after pancreatoduodenectomy

Pancreatology. 2014 Jan-Feb;14(1):83-5. doi: 10.1016/j.pan.2013.11.008. Epub 2013 Dec 4.

Authors

Benjamin J Rejowski¹, Rosalie A Fillenwarth¹, Patrick B White¹, Nicholas J Zyromski²

Affiliations

¹ Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
² Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA. Electronic address: nzyromsk@iupui.edu.

PMID: 24555982
DOI: 10.1016/j.pan.2013.11.008

Abstract

With more widespread application of and improved outcomes from pancreatoduodenectomy, late complications of this procedure are appearing more commonly in the clinical setting. Presented here is an unusual case of hemobilia secondary to cavernous portal vein transformation one year following pylorus-sparing pancreatoduodenectomy. Common and unusual causes of gastrointestinal bleeding following pancreatoduodenectomy are discussed.

Keywords: Cavernous portal vein transformation; Gastrointestinal bleed; Hemobilia; Pancreatoduodenectomy.

Publication types

Case Reports

MeSH terms

Aged
Anemia, Iron-Deficiency / etiology
Duodenum / surgery
Female
Gastrointestinal Hemorrhage / etiology*
Humans
Middle Aged
Pancreaticoduodenectomy / adverse effects*
Portal Vein / surgery
Postoperative Complications
Pylorus