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Anesthetic Management of Emergency Transcatheter Arterial Embolization under General Anesthesia for Postoperative Intra-Abdominal Hemorrhage Following Laparoscopic Extended Pancreaticoduodenectomy: A Case Report

Deying Xie^1*
1Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China

Corresponding Author: Deying Xie
Address: Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan 611743, P.R. China.
Received date: 26 April 2026; Accepted date: 14 May 2026; Published date: 21 May 2026

Citation: Xie D. Anesthetic Management of Emergency Transcatheter Arterial Embolization under General Anesthesia for Postoperative Intra-Abdominal Hemorrhage Following Laparoscopic Extended Pancreaticoduodenectomy: A Case Report. Asp Biomed Clin Case Rep. 2026 May 21;9(2):71-75.

Copyright © 2026 Xie D. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.

Keywords: Laparoscopic Extended Pancreaticoduodenectomy, Postoperative Intra-Abdominal Hemorrhage, Transcatheter Arterial Embolization, General Anesthesia, Anesthetic Management

Abstract

Laparoscopic extended pancreaticoduodenectomy is a radical surgical procedure for malignant tumors of the pancreatic head and periampullary region, characterized by extensive surgical trauma and complex anatomical dissection. Postoperative intra-abdominal hemorrhage is a life-threatening complication with rapid progression and can quickly lead to hemorrhagic shock. As a minimally invasive and precise hemostatic approach with less secondary trauma, transcatheter arterial embolization (TAE) has become the first-choice emergency treatment for postoperative arterial intra-abdominal hemorrhage.
However, these patients have usually just undergone major surgery and may present with severe hemorrhagic shock, coagulation dysfunction, and multiple organ impairment, posing enormous challenges to anesthetic management. This paper reports the anesthetic management process of a patient with intra-abdominal arterial hemorrhage after laparoscopic extended pancreaticoduodenectomy who underwent emergency digital subtraction angiography (DSA) and TAE under general anesthesia. The key points of perioperative circulatory management, airway management, coagulation regulation, and organ protection are summarized, providing references for anesthetic treatment of similar critical cases in clinical practice.