Bleeding pseudoaneurysms are among the most serious and
fatal complications after pancreaticoduodenectomy.Sentinel bleeding after
pancreaticoduodenectomy indicates local sepsis and anastomotic dehiscence.
Therefore, I think recognition of the significance of “sentinel bleeding” and
prompt response may prevent exsanguination.
Therapeutic embolization should be the initial procedure.
This is technically easier for the patient and the surgeon, and there is less
chance of rebleeding in septic field.
Pancreaticoduodenectomy, Sentinel bleeding,