Document Detail


Hemosuccus pancreaticus caused by a primary splenic artery aneurysm as a rare cause of gastrointestinal bleeding: report of a case.
MedLine Citation:
PMID:  21309415     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Hemosuccus pancreaticus is a rare complication of chronic pancreatitis. It is defined as hemorrhage from the papilla of Vater via the pancreatic duct. A 77-year-old man presented with a history of intermittent episodes of hematemesis and abdominal pain. Upper gastrointestinal endoscopy showed no obvious bleeding point, but clots were seen in the stomach and duodenum. Computed tomography (CT) showed a splenic artery aneurysm, and we diagnosed hemosuccus pancreaticus caused by rupture of the aneurysm into the main pancreatic duct. We performed distal pancreatectomy, during which we found the splenic artery aneurysm with thrombus in the pancreatic tail. Angiography of the resected specimen showed the splenic artery aneurysm and the communication with the main pancreatic duct. Microscopic examination revealed a true aneurysm of the splenic artery. Interventional radiology is commonly performed for diagnosis and treatment, but arterial embolization has a high recurrence rate. Thus, surgery is still required for hemosuccus pancreaticus.
Authors:
Kimihiro Igari; Takanori Ochiai; Arihiro Aihara; Youichi Kumagai; Michio Iida; Shigeru Yamazaki
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International surgery     Volume:  95     ISSN:  0020-8868     ISO Abbreviation:  Int Surg     Publication Date:    2010 Oct-Dec
Date Detail:
Created Date:  2011-02-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0043524     Medline TA:  Int Surg     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  325-8     Citation Subset:  IM    
Affiliation:
Department of Surgery, Ohta Nishinouchi General Hospital, Koriyama City, Japan. igari.srgl@tmd.ac.jp
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