Objective:To study the causes and treatment of delayed intra-abdominal hemorrhage after pancreatoduodenectomy (PD).
Methods:The occurrence of intra-abdominal hemorrhage among the 168 patients undergoing PD was retropectively analyzed.
Results:Of the 168 post-PD patients, delayed intra-abdominal hemorrhage occured in 38 cases (22.6%, 38/168). Eleven patients underwent reoperation due to severe intra-abdominal bleeding, and the mortality rate in reoperated patients was 27.3% (3/11). Pancreatic fistula and abdominal infection were the major causes attributed to bleeding of post-PD patients.
Conclusions: The delayed intra-abdominal hemorrhage in post-PD patients is closely related with pancreatic fistula and abdominal infection. The incidence of delayed intra-abdominal hemorrhage can be reduced by the improvement of perioperative management, the prevention, early detection, and treatment of pancreatic fistula and abdominal infection.