Arterio-Duodenal Fistula | Zendy

Pawan Kumar Garg | Zendy; Pushpinder Singh Khera | Zendy; Manish Pathak | Zendy; Galib Mirza | Zendy; Rahul Saxena | Zendy; Taruna Yadav | Zendy

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Arterio-Duodenal Fistula

Author(s) -

Pawan Kumar Garg,

Pushpinder Singh Khera,

Manish Pathak,

Galib Mirza,

Rahul Saxena,

Taruna Yadav

Publication year - 2021

Publication title -

journal of indian association of pediatric surgeons

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.306

H-Index - 17

eISSN - 1998-3891

pISSN - 0971-9261

DOI - 10.4103/jiaps.jiaps_56_20

Subject(s) - medicine , choledochal cysts , surgery , biliary fistula , fistula , perioperative , disseminated intravascular coagulation , blood transfusion , gastrointestinal tract , upper gastrointestinal bleeding , gastrointestinal bleeding , intrahepatic bile ducts , blood loss , biliary tract , cyst , endoscopy , bile duct

Choledochal cysts (CDC) are rare biliary tract anomalies characterized by congenital dilatation of the extrahepatic and/or intrahepatic bile ducts. CDC excision with hepatico-enterostomy is the preferred surgery in modern era. Perioperative blood loss in a case of laparoscopic choledochal cyst excision (LCCE) is usually minimal and managed by conservative treatment such as blood transfusion and correction of coagulation factors. Massive hemorrhage in LCCE is rare and reported intraoperatively or within the first 3 postoperative days. Hereby, we present an unusual case of arterio-duodenal fistula, post LCCE presenting as delayed massive upper gastrointestinal bleeding in a male child and its successful endovascular management.

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