{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T03:43:34Z","timestamp":1790567014909,"version":"4.1.0"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T00:00:00Z","timestamp":1707436800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T00:00:00Z","timestamp":1707436800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Acute pancreatitis caused by surgical procedures may occur less frequently in surgeries for aortic aneurysm involving the abdominal branch. However, in such cases, the associated mortality rate increases significantly. There have been few reports on abdominal aortic aneurysm surgery after pancreatoduodenectomy; as such the incidence of postoperative pancreatitis remains unclear.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>Two cases of pararenal artery aortic aneurysm after pancreaticoduodenectomy and endovascular aneurysm repair (EVAR) for an abdominal aortic aneurysm are reported. In the first case, a 74-year-old man was diagnosed with abdominal aortic aneurysm and duodenal cancer 6 years earlier and underwent pancreaticoduodenectomy after EVAR. Subsequently, the abdominal aorta expanded to 58\u00a0mm at the level of the renal artery proximal to the EVAR site. Graft replacement was performed through a left thoraco-retroperitoneal incision. However, the patient died from acute pancreatitis, believed to be caused by intraoperative manipulation. Given this initial experience, in the second case, a 77-year-old man had undergone a pancreaticoduodenectomy for a gastrointestinal stromal tumor 17\u00a0years earlier and EVAR for an abdominal aortic aneurysm 10\u00a0years earlier. The abdominal aorta had expanded to 50\u00a0mm immediately below the right renal artery on the proximal side of the EVAR. Subsequently, hematuria was noted, and he was diagnosed with right ureteral cancer. Autologous transplantation of the left kidney and EVAR was performed avoiding manipulation of the area around the pancreas and achieved good results. Combined right renal and ureteral resections were performed 20\u00a0days after EVAR.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>While performing aortic surgery after pancreaticoduodenectomy, surgeons should avoid manipulating tissues around the pancreas.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-024-01834-9","type":"journal-article","created":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T02:25:38Z","timestamp":1707445538000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Two cases of pararenal artery aortic aneurysm treatment after pancreaticoduodenectomy and abdominal aortic aneurysm stent grafting"],"prefix":"10.1186","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5569-0446","authenticated-orcid":false,"given":"Kazuhiro","family":"Yamazaki","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Minatoya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhisa","family":"Sakamoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masafumi","family":"Kudo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken","family":"Fukumitsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Kobayashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideaki","family":"Okajima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,2,9]]},"reference":[{"key":"1834_CR1","doi-asserted-by":"publisher","first-page":"382","DOI":"10.1056\/NEJM199108083250602","volume":"325","author":"C Fernandez-del Castillo","year":"1991","unstructured":"Fernandez-del Castillo C, Harringer W, Walshow AL, Vlahakes GJ, Koski G, Zaslavsky AM, et al. Risk factors for pancreatic cellar injury after cardiopulmonary bypass. N Engl J Med. 1991;325:382\u20137.","journal-title":"N Engl J Med"},{"key":"1834_CR2","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1016\/j.amjsurg.2005.03.004","volume":"190","author":"A Perez","year":"2005","unstructured":"Perez A, Ito H, Farivar RS, Corn LH, Byrne JG, Rawn JD, et al. Risk actor and outcomes of pancreatitis after open heart surgery. Am J Surg. 2005;190:401\u20135.","journal-title":"Am J Surg"},{"key":"1834_CR3","doi-asserted-by":"publisher","first-page":"154","DOI":"10.3349\/ymj.2013.54.1.154","volume":"54","author":"JW Chung","year":"2013","unstructured":"Chung JW, Ryu SH, Jo JH, Lee S, Park SW, Song SY, et al. Clinical implications and risk factors of acute pancreatitis after cardiac valve surgery. Yonsei Med J. 2013;54:154\u20139.","journal-title":"Yonsei Med J"},{"key":"1834_CR4","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1016\/S1072-7515(00)00701-8","volume":"191","author":"SH Burkey","year":"2000","unstructured":"Burkey SH, Valentine RJ, Jackson MR, Modrall JG, Clagett GP. Acute pancreatitis after abdominal vascular surgery. J Am Coll Surg. 2000;191:373\u201380.","journal-title":"J Am Coll Surg"},{"key":"1834_CR5","doi-asserted-by":"publisher","first-page":"442","DOI":"10.1016\/j.jvs.2006.05.018","volume":"44","author":"PE Achouh","year":"2006","unstructured":"Achouh PE, Madsen K, Miller CC 3rd, Estrea AL, Azizzadeh A, Dhareshwar J, et al. Gastrointestinal complications after descending thoracic and thoracoabdominal aortic repairs: a 14-year experience. J Vasc Surg. 2006;44:442\u20136.","journal-title":"J Vasc Surg"},{"key":"1834_CR6","doi-asserted-by":"publisher","first-page":"717","DOI":"10.1016\/j.athoracsur.2020.09.032","volume":"112","author":"WC Frankel","year":"2021","unstructured":"Frankel WC, Green SY, Amarasekara HS, Zang Q, Preventza O, LeMaire SA, et al. Early gastrointestinal complications after open thoracoabdominal aortic aneurysm repair. Ann Thorac Surg. 2021;112:717\u201325.","journal-title":"Ann Thorac Surg"},{"key":"1834_CR7","first-page":"1720","volume":"43","author":"H Ikegami","year":"1995","unstructured":"Ikegami H, Sumiyoshi T, Ishizuka N, Ueda M, Inaba T, Hosoda S, et al. Clinical characteristic of pancreatitis after cardiovascular surgery. J Jpn Assn Thorac Surg. 1995;43:1720\u20139.","journal-title":"J Jpn Assn Thorac Surg"},{"key":"1834_CR8","doi-asserted-by":"publisher","first-page":"926","DOI":"10.1053\/j.jvca.2009.01.019","volume":"23","author":"CS Br\u00fclls","year":"2009","unstructured":"Br\u00fclls CS, Dembinski R, Jacobs MJ, Mahnken AH, Rossaint R, Rex S. Fatal necrotic pancreatitis as a rare complication after thoracoabdominal aortic surgery. J Cardiothorac Vasc Anesth. 2009;23:926\u20139.","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"1834_CR9","doi-asserted-by":"publisher","first-page":"474","DOI":"10.1097\/shk.0b013e31802b65f8","volume":"27","author":"M Nys","year":"2007","unstructured":"Nys M, Venneman I, Deby-Dupon G, Preiser JC, Vanbelle S, Albert A, et al. Pancreatic cellular injury after cardiac surgery with cardiopulmonary bypass: frequency, time course and risk factors. Shock. 2007;27:474\u201381.","journal-title":"Shock"},{"key":"1834_CR10","first-page":"942","volume":"72","author":"K Akabane","year":"2019","unstructured":"Akabane K, Uchida T, Hamasaki A, Hamasaki A, Kuroda Y, Yamashita A, et al. Acute pancreatitis after thoracoabdominal aortic aneurysm repair having a history of pancreaticoduodenectomy: report a case. Kyobu Geka. 2019;72:942\u20135.","journal-title":"Kyobu Geka"},{"issue":"974","key":"1834_CR11","first-page":"e1","volume":"27","author":"G Espinosa","year":"2013","unstructured":"Espinosa G, Grochowiez L, Pascual I, Lavilla J, Olavide I, Hernandez MD, et al. Renal autotransplant for subsequent endovascular exclusion of the thoracoabdominal aorta. Ann Vasc Surg. 2013;27(974):e1-6.","journal-title":"Ann Vasc Surg"},{"key":"1834_CR12","doi-asserted-by":"publisher","first-page":"385.e1","DOI":"10.1016\/j.avsg.2018.11.008","volume":"58","author":"V Gazzola","year":"2019","unstructured":"Gazzola V, Spinella G, Mambrini S, Del Pizzo R, Mura MA, Palombo D, et al. Kidney preservation using renal heterotopic autotransplantation during fenestrated endovascular aortic repair for complex residual type-A aortic dissection. Ann Vasc Surg. 2019;58:385.e1-6.","journal-title":"Ann Vasc Surg"},{"key":"1834_CR13","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1186\/s12882-019-1353-7","volume":"20","author":"A Uehara","year":"2019","unstructured":"Uehara A, Suzuki T, Hase S, Sumi H, Hachisuka S, Fujimoto E, et al. Kidney autotransplantation for the treatment of renal artery occlusion after endovascular aortic repair: a case report. BMC Nephrol. 2019;20:160.","journal-title":"BMC Nephrol"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-01834-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-024-01834-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-01834-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T02:28:25Z","timestamp":1707445705000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-024-01834-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,9]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["1834"],"URL":"https:\/\/doi.org\/10.1186\/s40792-024-01834-9","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,9]]},"assertion":[{"value":"16 November 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 February 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 February 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for the publication of this case report and any accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"36"}}