Fatal liver injury complicated by percutaneous catheter drainage after distal pancreatosplenectomy in a patient with pancreatic cancer.
10.14701/kjhbps.2014.18.2.64
- Author:
Sung Hwan LEE
1
;
Chang Moo KANG
;
Yong Eun CHUNG
;
Jeong Youp PARK
;
Woo Jung LEE
Author Information
1. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. cmkang@yuhs.ac
- Publication Type:Case Report
- Keywords:
Liver injury;
Complication;
Percutaneous catheter drainage;
Distal pancreatosplenectomy;
Pancreatic cancer
- MeSH:
Abscess;
Catheters*;
Drainage*;
Hemorrhage;
Humans;
Liver*;
Pancreatectomy;
Pancreatic Fistula;
Pancreatic Neoplasms*;
Pancreaticoduodenectomy
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
2014;18(2):64-67
- CountryRepublic of Korea
- Language:English
-
Abstract:
Postoperative pancreatic fistula (POPF) combined with postoperative fluid collection, bleeding and abscess formation is one of the most critical morbidities after distal pancreatectomy or pancreaticoduodenectomy. Percutaneous catheter drainage has been commonly used for managing for the postoperative management of abnormal fluid collection. Removal of the catheter is rarely associated with occurrence of life-threatening complication such as serious liver damage. Herein, we report a case of unexpected fatal liver injury complicated by percutaneous catheter drainage treatment after distal pancreatosplenectomy in a patient with pancreatic cancer. We suggest that prudent decision for timing of catheter removal and meticulous care during procedure can reduce the possibility of major liver injury in patients with percutaneous transhepatic catheter drainage.
