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Tasu JP, Vesselle G, Herpe G, Ferrie JC, Chan P, Boucebci S, Velasco S. Postoperative abdominal bleeding. Diagn Interv Imaging 2015; 96:823-31. [PMID: 26078019 DOI: 10.1016/j.diii.2015.03.013] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2015] [Accepted: 03/23/2015] [Indexed: 12/14/2022]
Abstract
Postoperative bleeding following abdominal surgery is relatively rare and mainly depends on the type of surgery. Although bleeding is usually controlled by simple local treatment of symptoms, specific treatment including surgery or interventional radiology is sometimes necessary. This article reviews the clinical features that must be recognized depending on the type of surgery and especially focuses on the role of the radiologist in the management of this complication.
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Affiliation(s)
- J-P Tasu
- CHU [University Hospital Center], diagnostic, functional and therapeutic imagery center, rue de la Milétrie, 86000 Poitiers, France.
| | - G Vesselle
- CHU [University Hospital Center], diagnostic, functional and therapeutic imagery center, rue de la Milétrie, 86000 Poitiers, France
| | - G Herpe
- CHU [University Hospital Center], diagnostic, functional and therapeutic imagery center, rue de la Milétrie, 86000 Poitiers, France
| | - J-C Ferrie
- CHU [University Hospital Center], diagnostic, functional and therapeutic imagery center, rue de la Milétrie, 86000 Poitiers, France
| | - P Chan
- CHU [University Hospital Center], diagnostic, functional and therapeutic imagery center, rue de la Milétrie, 86000 Poitiers, France
| | - S Boucebci
- CHU [University Hospital Center], diagnostic, functional and therapeutic imagery center, rue de la Milétrie, 86000 Poitiers, France
| | - S Velasco
- CHU [University Hospital Center], diagnostic, functional and therapeutic imagery center, rue de la Milétrie, 86000 Poitiers, France
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Nouhaud FX, Gas J, Peyronnet B, Roumiguié M, Beauval JB, Lagarde S, Soulié M, Rischmann P, Doumerc N. [Treatment of pseudoaneurysm following partial nephrectomy]. Prog Urol 2014; 25:18-21. [PMID: 25450752 DOI: 10.1016/j.purol.2014.09.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2014] [Accepted: 09/18/2014] [Indexed: 11/26/2022]
Abstract
BACKGROUND Partial nephrectomy (PN) has become the gold standard for the treatment of small tumors confined to the kidney. As result, the number of PN procedures increased during the last years. Subsequently, we have more often to deal with the complications of this surgery. Among these, pseudoaneurysms are rare but potentially life-threatening due to a risk of bleeding. Therefore, pseudoaneurysms have to be treated according to a relevant strategy. METHODS We performed a literature review of the cases of pseudoaneurysm after PN was reported as well as a focus on the different treatment strategies and their outcomes. RESULTS The incidence of pseudoaneurysm is low, ranging from 0.5% to 4%. Radio-embolization represents the gold standard treatment, used in 98% of the cases reported in the literature, allowing high success rate and rare morbidity. However, in some selected cases, surveillance could be an alternative.
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Affiliation(s)
- F-X Nouhaud
- Service d'urologie et transplantation, hôpital Rangueil, centre hospitalier et universitaire de Toulouse, 1, avenue du Professeur-Jean-Poulhes, 31400 Toulouse, France.
| | - J Gas
- Service d'urologie et transplantation, hôpital Rangueil, centre hospitalier et universitaire de Toulouse, 1, avenue du Professeur-Jean-Poulhes, 31400 Toulouse, France
| | - B Peyronnet
- Service d'urologie et transplantation, hôpital Rangueil, centre hospitalier et universitaire de Toulouse, 1, avenue du Professeur-Jean-Poulhes, 31400 Toulouse, France
| | - M Roumiguié
- Service d'urologie et transplantation, hôpital Rangueil, centre hospitalier et universitaire de Toulouse, 1, avenue du Professeur-Jean-Poulhes, 31400 Toulouse, France
| | - J-B Beauval
- Service d'urologie et transplantation, hôpital Rangueil, centre hospitalier et universitaire de Toulouse, 1, avenue du Professeur-Jean-Poulhes, 31400 Toulouse, France
| | - S Lagarde
- Service de radiologie et imagerie médicale, hôpital Rangueil, centre hospitalier et universitaire de Toulouse, 1, avenue du Professeur-Jean-Poulhes, 31400 Toulouse, France
| | - M Soulié
- Service d'urologie et transplantation, hôpital Rangueil, centre hospitalier et universitaire de Toulouse, 1, avenue du Professeur-Jean-Poulhes, 31400 Toulouse, France
| | - P Rischmann
- Service d'urologie et transplantation, hôpital Rangueil, centre hospitalier et universitaire de Toulouse, 1, avenue du Professeur-Jean-Poulhes, 31400 Toulouse, France
| | - N Doumerc
- Service d'urologie et transplantation, hôpital Rangueil, centre hospitalier et universitaire de Toulouse, 1, avenue du Professeur-Jean-Poulhes, 31400 Toulouse, France
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