Hemosuccus pancreaticus is a very rare cause of gastrointestinal bleeding and can be life-threatening if not managed appropriately. Still thought to be a surgical problem, advances in medical therapy now afford these patients the opportunity to undergo less-invasive angiography techniques to manage this illness when it occurs. Here, we present a case of hemosuccus pancreaticus safely managed with liquid N-butyl-2-cyanoacrylate embolization.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139223PMC
http://dx.doi.org/10.1155/2018/2354169DOI Listing

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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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Background: Numerous conditions may lead to gastrointestinal bleeding (GIB). Compared with common causes, hemosuccus pancreaticus (HP) is a scarce and potentially life-threatening condition.

Case Presentation: We report the case of a 45-year-old female patient who suffered from hematemesis and subsequent hemorrhagic shock.

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