{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T06:45:56Z","timestamp":1788245156530,"version":"build-2803163510"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T00:00:00Z","timestamp":1739145600000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Visceral artery pseudoaneurysms are rare but life-threatening complications following upper gastrointestinal (GI) surgery. This case series reviews six patients (male-to-female ratio 3:3) who developed pseudoaneurysms, presenting with diverse clinical manifestations. Four patients (66.6%) experienced bleeding, including hemoperitoneum and upper GI bleeding, with one also reporting nausea and vomiting. Two patients (33.3%) developed anastomotic site leakage, leading to hemoperitoneum in one and bile-induced intra-abdominal infection in the other. The pseudoaneurysms involved the proper hepatic artery (n\u2009=\u20093), common hepatic artery (n\u2009=\u20092), right hepatic artery (n\u2009=\u20091), jejunal artery (n\u2009=\u20091), and splenic artery (n\u2009=\u20091). All patients underwent interventional radiology procedures, with angioembolization performed in each case. Recurrent bleeding required re-embolization in three cases: two from previously treated sites and one from a new pseudoaneurysm. Bleeding occurred between the 5th and 27th postoperative days, and one patient succumbed. Early diagnosis and timely endovascular management are critical for improved outcomes in these patients.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf048","type":"journal-article","created":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T20:19:07Z","timestamp":1737577147000},"source":"Crossref","is-referenced-by-count":1,"title":["Bleeding pseudoaneurysms in postoperative upper gastrointestinal surgery patients: a single -center experience"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1152-2675","authenticated-orcid":false,"given":"Raju","family":"Sah","sequence":"first","affiliation":[{"name":"Department of Surgical Gastroenterology, Nepal Mediciti Hospital , Karyabinayak, Lalitpur 44600 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0070-369X","authenticated-orcid":false,"given":"Sushil Bahadur","family":"Rawal","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Nepal Mediciti Hospital , Karyabinayak, Lalitpur 44600 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srijan","family":"Malla","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Nepal Mediciti Hospital , Karyabinayak, Lalitpur 44600 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jyoti","family":"Rayamajhi","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Nepal Mediciti Hospital , Karyabinayak, Lalitpur 44600 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pawan Singh","family":"Bhat","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Nepal Mediciti Hospital , Karyabinayak, Lalitpur 44600 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,2,10]]},"reference":[{"key":"2025021015181765500_ref1","first-page":"449","article-title":"Bleeding pseudoaneurysms complicating upper abdominal surgery","volume":"13","author":"Cheung","year":"2007","journal-title":"Hong Kong Med J"},{"key":"2025021015181765500_ref2","doi-asserted-by":"publisher","first-page":"472","DOI":"10.1007\/s002700010107","article-title":"Pseudoaneurysm of the common hepatic artery: treatment with a stent-graft","volume":"23","author":"Paci","year":"2000","journal-title":"Cardiovasc Intervent Radiol"},{"key":"2025021015181765500_ref3","doi-asserted-by":"publisher","first-page":"e6121","DOI":"10.1002\/ccr3.6121","article-title":"Transcatheter arterial embolization of the common hepatic artery for pseudoaneurysm after a laparoscopic-assisted pancreaticoduodenectomy: a case report","volume":"11","author":"Xu","year":"2023","journal-title":"Clinical Case Reports"},{"key":"2025021015181765500_ref4","doi-asserted-by":"publisher","first-page":"1625","DOI":"10.1016\/j.jvs.2011.02.003","article-title":"Emergency stent graft implantation for ruptured visceral artery pseudoaneurysm","volume":"53","author":"Boufi","year":"2011","journal-title":"J Vasc Surg"},{"key":"2025021015181765500_ref5","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1097\/01.sla.0000150169.22834.13","article-title":"Delayed massive hemorrhage after pancreatic and biliary surgery: embolization or surgery?","volume":"241","author":"Castro","year":"2005","journal-title":"Ann Surg"},{"key":"2025021015181765500_ref6","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1016\/S0002-9610(05)80151-5","article-title":"Pancreatic anastomotic leak after pancreaticoduodenectomy: incidence, significance, and management","volume":"168","author":"Cullen","year":"1994","journal-title":"The American Journal of Surgery"},{"key":"2025021015181765500_ref7","doi-asserted-by":"publisher","first-page":"863","DOI":"10.1002\/bjs.1800760833","article-title":"Haemorrhage in pancreatic disease","volume":"76","author":"Shankar","year":"1989","journal-title":"Journal of British Surgery"},{"key":"2025021015181765500_ref8","doi-asserted-by":"publisher","first-page":"945","DOI":"10.1111\/j.1445-1433.2004.03212.x","article-title":"Haemorrhagic complications of pancreaticoduodenectomy","volume":"74","author":"Balachandran","year":"2004","journal-title":"ANZ J Surg"},{"key":"2025021015181765500_ref9","doi-asserted-by":"publisher","first-page":"432","DOI":"10.1007\/s11605-006-0076-9","article-title":"Management of massive arterial hemorrhage after pancreatobiliary surgery: does embolotherapy contribute to successful outcome?","volume":"11","author":"Fujii","year":"2007","journal-title":"J Gastrointest Surg"},{"key":"2025021015181765500_ref10","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1097\/00000658-199802000-00013","article-title":"Hemorrhage after pancreatoduodenectomy","volume":"227","author":"Rumstadt","year":"1998","journal-title":"Ann Surg"},{"key":"2025021015181765500_ref11","doi-asserted-by":"publisher","first-page":"1293","DOI":"10.1016\/j.gassur.2005.08.003","article-title":"Management of delayed visceral arterial bleeding after pancreatic head resection","volume":"9","author":"Makowiec","year":"2005","journal-title":"J Gastrointest Surg"},{"key":"2025021015181765500_ref12","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1007\/BF00188363","article-title":"False aneurysm of a hepatic artery branch and a recurrent subphrenic abscess: two unusual complications after laparoscopic cholecystectomy","volume":"10","author":"Porte","year":"1996","journal-title":"Surg Endosc"},{"key":"2025021015181765500_ref13","doi-asserted-by":"publisher","first-page":"2733","DOI":"10.3390\/cancers12102733","article-title":"Transcatheter arterial embolization treatment for bleeding visceral artery pseudoaneurysms in patients with pancreatitis or following pancreatic surgery","volume":"12","author":"Numoto","year":"2020","journal-title":"Cancer"},{"key":"2025021015181765500_ref14","doi-asserted-by":"publisher","first-page":"1098","DOI":"10.1016\/j.avsg.2012.10.024","article-title":"Endovascular management of severe bleeding after major abdominal surgery","volume":"27","author":"Boufi","year":"2013","journal-title":"Ann Vasc Surg"},{"key":"2025021015181765500_ref15","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1007\/s00068-016-0672-7","article-title":"Acute bleeding from pseudoaneurysms following liver and pancreatobiliary surgery","volume":"43","author":"Sanchez Arteaga","year":"2017","journal-title":"Eur J Trauma Emerg Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/2\/rjaf048\/61817677\/rjaf048.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/2\/rjaf048\/61817677\/rjaf048.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T15:18:31Z","timestamp":1739200711000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf048\/8006268"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf048","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,2]]},"published":{"date-parts":[[2025,2]]},"article-number":"rjaf048"}}