Haemosuccus pancreaticus is a rare cause of gastrointestinal bleeding. The blood is passing into the pancreatic duct through the route between an aneurysm of an artery close to the pancreas and pancreatic duct. The blood goes to the gastrointestinal system through Vater's papilla and the patient becomes anemic. The authors describe their own clinical observations. In the presented paper the pathogenesis of the disease as well as difficulties of diagnosis are discussed. The possible ways of treatment are mentioned, too. It is necessary to consider haemosuccus pancreaticus in patients with proved chronic pancreatitis and in patients with ethylic anamnesis. Duodenoscopy, ERCP and especially angiography help to set the diagnosis. For the treatment it is recommended to perform the embolization of the bleeding artery or an operation such as pancreas resection, artery ligation or alternatively a drainage operation.
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http://dx.doi.org/10.1055/s-2005-836482 | DOI Listing |
BMJ Case Rep
February 2024
Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
Upper gastrointestinal (GI) bleeding is a common medical condition that results in extensive morbidity and mortality, as well as substantial healthcare costs. While there is variation among society and consensus guidelines, the approaches to assessment and evaluation are generally consistent. Our case describes a man in his 40s who presented with seven episodes of recurrent upper GI bleeding over 2 years secondary to haemosuccus pancreaticus.
View Article and Find Full Text PDFBMJ Case Rep
August 2023
Department of General Internal Medicine, St. Luke's International Hospital, Chuo-ku, Japan.
EJVES Vasc Forum
April 2022
Department of Gastroenterological Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Objective: Two cases of haemosuccus pancreaticus (HP), a rare cause of gastrointestinal bleeding caused by splenic artery aneurysm derived from isolated spontaneous coeliac artery dissection (ISCAD), are reported.
Case Report: The first case was a 62-year-old man with a history of hypertension who presented with abdominal pain and melaena. Laboratory tests indicated slight anaemia and a high serum amylase level.
ANZ J Surg
April 2022
Upper Gastrointestinal/Hepatobiliary and General Surgery Unit, Monash Health, Clayton, Victoria, Australia.
BMJ Case Rep
July 2021
Gastroenterology, Ulster Hospital, Dundonald, UK.
Over a 6-month period, a 69-year-old woman presented with recurrent symptomatic anaemia, melaena and haematochezia. Extensive investigations were carried out, including CT of the abdomen and pelvis, oesophagogastroduodenoscopy, colonoscopy, two capsule endoscopies and two CT angiograms. The lack of active bleeding at the time of both CT angiograms meant a diagnosis was only made following retrospective examination of images by interventional radiology once fresh ampullary bleeding was identified on capsule endoscopy.
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