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Emergency Pancreatoduodenectomy with Preservation of Gastroduodenal Artery for Massive Gastrointestinal Bleeding due to Duodenal Metastasis by Clear Cell Renal Cell Carcinoma in a Patient with Celiac Artery Stenosis
المؤلفون المشاركون
Mudan, Satvinder
Giakoustidis, Alexandros
Gore, Martin
Kyriakos, Neofytou
المصدر
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-08-11
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Duodenal metastasis from renal cell carcinoma is rare, and even rarer is a massive gastrointestinal bleeding from such tumours.
Coeliac occlusive disease, although rarely symptomatic, can lead to ischaemic changes with anastomotic dehiscence and leaks when a patient undergoes pancreatoduodenectomy.
A 41-year-old man with known metastasis to the adrenal glands and the second part of the duodenum close to the ampulla of Vater from clear cell renal cell carcinoma was admitted to our department due to massive gastrointestinal bleeding from the duodenal metastasis.
Endoscopic control of the bleed was not possible, while the bleeding vessel embolization was able to control the haemorrhage only temporarily.
An angiography during the embolization demonstrated the presence of stenosis of the coeliac artery and also hypertrophic inferior pancreaticoduodenal arteries supplying the proper hepatic artery via the gastroduodenal artery (GDA).
The patient underwent emergency pancreatoduodenectomy with preservation of the gastroduodenal artery.
The patient had an uneventful recovery and did not experience further bleeding.
Also the blood flow to the liver was compromised as shown by the normal liver function tests (LFTs) postoperatively.
To the best of our knowledge, this is the first report of a preservation of the GDA during an emergency pancreatoduodenectomy.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Kyriakos, Neofytou& Giakoustidis, Alexandros& Gore, Martin& Mudan, Satvinder. 2014. Emergency Pancreatoduodenectomy with Preservation of Gastroduodenal Artery for Massive Gastrointestinal Bleeding due to Duodenal Metastasis by Clear Cell Renal Cell Carcinoma in a Patient with Celiac Artery Stenosis. Case Reports in Surgery،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-455544
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Kyriakos, Neofytou…[et al.]. Emergency Pancreatoduodenectomy with Preservation of Gastroduodenal Artery for Massive Gastrointestinal Bleeding due to Duodenal Metastasis by Clear Cell Renal Cell Carcinoma in a Patient with Celiac Artery Stenosis. Case Reports in Surgery No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-455544
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Kyriakos, Neofytou& Giakoustidis, Alexandros& Gore, Martin& Mudan, Satvinder. Emergency Pancreatoduodenectomy with Preservation of Gastroduodenal Artery for Massive Gastrointestinal Bleeding due to Duodenal Metastasis by Clear Cell Renal Cell Carcinoma in a Patient with Celiac Artery Stenosis. Case Reports in Surgery. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-455544
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-455544
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
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