Abstract
Surgery offers the only chance of cure in patients with pancreatic cancer. Five-year survival of these patients has been relatively disappointing. This has led many surgeons to extend pancreatic resection to remove all neural and lymphoid tissue. 1 Tsuchyia R Tsunoda T Ishida T Saitoh Y Resection for cancer of the pancreas: the Japanese experience. Baillières Clin Gastroenterol. 1990; 4: 931-939 Abstract Full Text PDF PubMed Scopus (35) Google Scholar , 2 Cameron JL Crist DW Sitzmann JV Factors influencing survival after pancreatico-duodenectomy for pancreatic cancer. Am J Surg. 1991; 161: 120-124 Abstract Full Text PDF PubMed Scopus (552) Google Scholar Extensive surgical dissection includes skeletonization of hepatic arteries. We believe a rare complication of this is the formation of pseudoaneurysms, and these commonly present with massive upper gastrointestinal tract bleeding caused by rupture into the adjacent hepaticojejunostomy.
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