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Hemosuccus pancreaticus (HP) is a rare, life-threatening cause of upper gastrointestinal bleeding, often linked to chronic pancreatitis and pseudoaneurysm rupture into the pancreatic duct. However, its occurrence in acute necrotizing pancreatitis with decompensated cirrhosis is exceedingly rare and poses significant diagnostic and treatment challenges. We report a case of a 34-year-old male with decompensated alcoholic cirrhosis who developed hemorrhagic shock from HP following acute necrotizing pancreatitis.

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The development of an arterial pseudoaneurysm is an unusual complication of chronic pancreatitis. The most commonly involved artery is the splenic artery. This is a case report describing a case of a superior pancreaticoduodenal artery pseudoaneurysm in a patient with chronic pancreatitis who developed .

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Diagnostic and Therapeutic Challenges in Hemosuccus Pancreaticus: A Case Report.

Radiol Case Rep

December 2024

Department of Radiology and Diagnostic Imaging, Fundación Valle del Lili, Cali, Colombia, 760032.

Article Synopsis
  • Hemosuccus pancreaticus is a rare cause of upper gastrointestinal bleeding, linked to the pancreatic duct, with only about 150 cases reported by 2021.
  • Without treatment, the condition has a high mortality rate of up to 90%, but intervention can reduce it to 25%-37%.
  • A case study of a 64-year-old woman showed successful treatment of her pancreatic hematoma and pseudoaneurysm through angiographic embolization, emphasizing the importance of advanced imaging and multidisciplinary care in managing this condition.
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Hemosuccus pancreaticus (HP) is characterized by gastrointestinal bleeding from the papilla of Vater via the pancreatic duct. In this report, we describe a case of HP due to arterial perforation in a pancreatic pseudocyst and discuss the computed tomography (CT) findings and efficacy of stent graft placement. A 64-year-old man with a history of heavy alcohol use, situs inversus totalis, and total gastrectomy was hospitalized with hematochezia.

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