AI Article Synopsis
- A 67-year-old man with chronic pancreatitis experienced severe abdominal pain and melena, leading to the discovery of a splenic artery aneurysm affecting the pancreatic duct.
- He was diagnosed with hemosuccus pancreaticus (HP) after active bleeding was found during an endoscopy, and treatment was carried out using interventional radiology (IVR) since his lung condition prevented major surgery.
- Although IVR has a high chance of recurrence, it was shown to be an effective and less invasive option for managing relapsing HP, which recurred seven months later but was successfully treated again with IVR.
Article Abstract
A 67-year-old male with chronic pancreatitis presented with upper abdominal pain and melena. Abdominal dynamic computed tomography revealed a splenic artery aneurysm in the main pancreatic duct. Esophagogastroduodenoscopy showed active bleeding from Vater's papilla. The patient was diagnosed with hemosuccus pancreaticus (HP) due to rupture of the aneurysm and treated with interventional radiology (IVR). The patient's poor lung function did not allow for a radical operation and a follow-up examination was recommended. The HP relapsed 7 months later and was successfully retreated with IVR. Although IVR is associated with a high recurrence rate, it is less invasive and therefore effective for treating relapsing HP in patients with a poor general condition.
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| http://dx.doi.org/10.11405/nisshoshi.115.825 | DOI Listing |
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