Question
Post Whipple’s surgery on the 4th postoperative day, patient present with fever, tachycardia and pain. USG shows a collection which was drained percutaneously. And on Post operative day 10th, there is frank blood of 100 ml in drain. What is the next line of management?
| A. |
Emergency laparotomy |
| B. |
CT angiography |
| C. |
Observation |
| D. |
Flush the drain with nor adrenaline |
Show Answer
|
Correct Answer � B Explanation |
 |
Answer- B CT angiography
There is extraluminal bleeding on 10th POD following most likely a pancreatic fistula. Clinical condition is mentioned for day 4 which is because of pancreatic leak. A pancreatic fistula can cause vascular pseudo aneurysm so next line of management is CT angiography Early extraluminal PPH requires re- exploration