Dousse D, Bloom E, Suc B. Pancreaticoduodenectomy complicated by Budd-Chiari syndrome: A case report and review of literature. World J Gastrointest Surg 2018; 10(9): 107-110 [PMID: 30622679 DOI: 10.4240/wjgs.v10.i9.107]
Corresponding Author of This Article
Bertrand Suc, MD, Professor, Department of Visceral Surgery, Toulouse-Rangueil University Hospital, 1 Avenue du Pr Jean Poulhès, 31059 Toulouse Cedex 9, France. suc.b@chu-toulouse.fr
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
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Dousse D, Bloom E, Suc B. Pancreaticoduodenectomy complicated by Budd-Chiari syndrome: A case report and review of literature. World J Gastrointest Surg 2018; 10(9): 107-110 [PMID: 30622679 DOI: 10.4240/wjgs.v10.i9.107]
World J Gastrointest Surg. Dec 27, 2018; 10(9): 107-110 Published online Dec 27, 2018. doi: 10.4240/wjgs.v10.i9.107
Pancreaticoduodenectomy complicated by Budd-Chiari syndrome: A case report and review of literature
Damien Dousse, Eric Bloom, Bertrand Suc
Damien Dousse, Eric Bloom, Department of Visceral Surgery, Toulouse-Purpan University Hospital, 31059 Toulouse Cedex 9, France
Damien Dousse, Bertrand Suc, Department of Visceral Surgery, Toulouse-Rangueil University Hospital, 31059 Toulouse Cedex 9, France
Author contributions: Dousse D and Bloom E performed research and wrote the manuscript; Suc B provided critical revision of the manuscript for important intellectual content.
Informed consent statement: The patient was not required to give informed consent to the study because the analysis used anonymized clinical data that were obtained after the patient agreed to treatment by written consent.
Conflict-of-interest statement: The authors declare no potential conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Bertrand Suc, MD, Professor, Department of Visceral Surgery, Toulouse-Rangueil University Hospital, 1 Avenue du Pr Jean Poulhès, 31059 Toulouse Cedex 9, France. suc.b@chu-toulouse.fr
Telephone: +33-56-1322937 Fax: +33-56-1322936
Received: June 28, 2018 Peer-review started: June 30, 2018 First decision: July 19, 2018 Revised: November 4, 2018 Accepted: November 8, 2018 Article in press: November 8, 2018 Published online: December 27, 2018 Processing time: 181 Days and 14.9 Hours
Core Tip
Core tip: Pancreaticoduodenectomy (PD) is responsible for significant morbidity and mortality. Pancreatic fistula (PF), the main complication of this surgery, has been the subject of many clinical practice guidelines releases to recommend its definition, prevention, and management. However, some clinical presentations of severe PF after PD remain atypical and undescribed. We report here a case of acute Budd-Chiari syndrome in relation to a compressive hematoma of the retrohepatic vena cava due to massive postpancreatectomy hemorrhage. Emergency relaparotomy to remove the compressive hematoma enabled rapid improvement. Awareness of this potential life-threatening complication may help avoid a delay in diagnosis and to propose an appropriate therapeutic strategy.
