Recurrent chronic gastrointestinal bleeding, conditioned by pseudoaneurysm of proper hepatic artery and pseudo-diverticulum of duodenum

Authors

  • L. S. Bilyanskyi О. Bohomolets National Medical University
  • M. S. Slushinskiy О. Bohomolets National Medical University
  • A. D. Kalchenko О. Bohomolets National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2017.3.8164

Keywords:

chronic reccurent gastrointestinal bleeding, duodenal pseudodiverticulum, pseudoaneurysm of proper hepatic artery.

Abstract

The clinical case of surgical treatment of pseudoaneurysm of a.hepaticа propria, duodenal pseudodiverticul with relapsing chronic bleeding is presented. A patient with relapsing chronic bleeding for 2 years has been performed CT with intravenous contrast, 3-D simulation of the branches of truncus coeliacus, which resulted in the CT-signs of pseudoaneurysm a.hepatica propria. It was decided to carry out upper-middle laparotomy, intraoperatively detected pseudoaneurysm a.hepatica propria, from the top of the pseudoaneurysm, marked departure of the trunk a. gastrica dextra with a branch to the duodenal pseudodiverticul. A. gastrica dextra is tied and crossed. The duodenal pseudodiverticul is invaginated into the lumen of the duodenal bulb by serous-muscular sutures. For 19 months postoperative monitoring relapse of bleeding was not detected.

Author Biography

L. S. Bilyanskyi, О. Bohomolets National Medical University

 

References

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Published

2017-11-08

How to Cite

Bilyanskyi, L. S., Slushinskiy, M. S., & Kalchenko, A. D. (2017). Recurrent chronic gastrointestinal bleeding, conditioned by pseudoaneurysm of proper hepatic artery and pseudo-diverticulum of duodenum. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 125–127. https://doi.org/10.11603/2414-4533.2017.3.8164

Issue

No. 3 (2017)

Section

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