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{
    "pk": 39652,
    "title": "Emergency Management of Post-Pancreatectomy Hemorrhage Secondary to a Ruptured Common Hepatic Artery Pseudoaneurysm: A Case Report",
    "subtitle": null,
    "abstract": "<p><strong>Introduction</strong>: Post-pancreatectomy hemorrhage (PPH) is a deadly complication of pancreatectomy procedures. Rapid identification of these life-threatening complications is crucial to mitigating associated morbidity and mortality rates. Delayed PPH is managed similarly to aortoenteric fistulas with damage control resuscitation and emergent endovascular interventions such as embolization and stent placement.</p>\n<p><strong>Case Report: </strong>Here, we present the case of a delayed PPH presenting to the emergency department as a sentinel bleed secondary to a ruptured common hepatic artery pseudoaneurysm following a pancreatoduodenectomy.</p>\n<p><strong>Conclusion</strong>: With hepatobiliary procedures being performed with more frequency, emergency physicians must be aware of the deadly postoperative complications such as post-pancreatectomy hemorrhage, their presentations, and their treatments.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Pancreatoduodenectomy/Whipple Procedure"
        },
        {
            "word": "sentinel bleed"
        },
        {
            "word": "Post-operative Pancreatic Fistula (POPF)"
        },
        {
            "word": "case report"
        },
        {
            "word": "Post-pancreatectomy Hemorrhage (PPH)"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/7r02b6w8",
    "frozenauthors": [
        {
            "first_name": "Abigail",
            "middle_name": "",
            "last_name": "Banks-McClelland",
            "name_suffix": "",
            "institution": "Northeast Georgia Medical Center, Emergency Medicine Residency Program, Department of Graduate Medical Education, Gainesville, Georgia",
            "department": ""
        },
        {
            "first_name": "Terence",
            "middle_name": "",
            "last_name": "Jackson",
            "name_suffix": "",
            "institution": "Northeast Georgia Medical Center Hepato-Pancreato-Biliary Surgery, Department of Surgery, Gainesville, Georgia",
            "department": ""
        },
        {
            "first_name": "Nelson",
            "middle_name": "A",
            "last_name": "Royall",
            "name_suffix": "",
            "institution": "Northeast Georgia Medical Center, Hepato-Pancreato-Biliary Surgery, Department of Surgery, Department of Graduate Medical Education, Gainesville, Georgia",
            "department": ""
        }
    ],
    "date_submitted": "2024-11-01T12:52:13.503000-04:00",
    "date_accepted": "2025-03-11T21:49:58.379000-04:00",
    "date_published": "2025-05-28T13:42:00-04:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/39652/galley/38479/download/"
        }
    ]
}