2003 Volume 23 Issue 6 Pages 905-909
The patient was a 59 years old man, who was diagnosed as having cancer of the head of the pancreas, and a pancreatoduodenectomy was performed. The postoperative course had been uneventful until shock caused by intra-abdominal hemorrhage occurred on the 16th postoperative day. At laparotomy, a causative injury of the common hepatic artery was found, and it was repaired. Re-bleeding occurre 11 days after the second surgery, however, and the third surgery was performed. The bleeding locus was the same as the previous one, and it was fixed with a transfixing ligation of the common hepatic artery since the vascular wall was severely damaged. Postoperatively, mild impaired liver function was seen, but it recovered within 3 weeks. The patient was discharged on the 88th day from the initial surgery.
