Splenik artery to mesenteric artery bypass due to intraoperative injury

Bahadır Celep,

doi:10.5606/tgkdc.dergisi.2013.6227

Bahadır Celep¹, Mahmut Mustafa Ulaş², Ersin Kadiroğulları², Adnan Yalçınkaya², Rıza Sarper Ökten³, Sinan Yol¹

¹Department of Gastroenterology Surgery, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
²Department of Cardiovascular Surgery, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
³Department of Radiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey

DOI : 10.5606/tgkdc.dergisi.2013.6227

Iatrogenic injury of the superior mesenteric artery (SMA) during pancreatectomy is a serious vascular condition with increased morbidity and mortality rates. In this article, we report a 47-year-old female case with pancreatic head carcinoma who had SMA injury during pancreaticoduodenectomy. Splenectomy was performed on the patient and splenic artery was used for revascularization of SMA. The patient had no complications after discharge. The overall condition of the patient was good without postprandial abdominal pain at six months after discharge.

Keywords : Pancreaticoduodenectomy; splenic artery; superior mesenteric artery injury; whipple procedure

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