Rare, Uncommon, and Unusual Complications After Pancreaticoduodenal Resection

Thinzar M. Lwin, Natasha Leigh, Mazen E. Iskandar, Justin G. Steele, Michael G. Wayne, Avram M. Cooperman

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations


Complications after pancreaticoduodenal resection occur in at least 30% of patients. Most are a direct result of an intraoperative event, dissection, or anastomoses which account for the most serious morbidities, sepsis, pseudoaneurysms, and hemorrhage. Rarely, complications are due to the systemic impact of the procedure even if the procedure itself was unremarkable. Rare systemic complications after PDR (Transfusion transmitted Babesiosis, pituitary apoplexy, and TRALI) and a number of uncommon and unusual other complications are discussed. Pancreaticoduodenal resection is a significant operation with serious consequences. Decisions on selection of candidates and safe operations should be thoughtful and always in surgeons’ minds.

Original languageEnglish
Pages (from-to)87-94
Number of pages8
JournalSurgical Clinics of North America
Issue number1
StatePublished - Feb 2018
Externally publishedYes


  • Pancreaticoduodenal resection
  • Pancreaticoduodenectomy
  • Pituitary apoplexy
  • Postpancreatectomy complications
  • Pseudoaneurysm
  • Transfusion-related lung injury
  • Transfusion-transmitted babesiosis
  • Whipple procedure


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