| Hemosuccus pancreaticus from a splenic artery pseudoaneurysm: an unusual cause of upper gastrointestinal bleeding. | |
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MedLine Citation:
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PMID: 8857259 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Hemorrhage through the pancreatic duct into the duodenum, so called "hemosuccus pancreaticus", is a rare cause of gastrointestinal bleeding with diagnostic difficulties. We report a 60-year-old man with recurrent upper gastrointestinal bleeding due to rupture of a splenic artery pseudoaneurysm into the pancreatic duct. Initial upper gastrointestinal endoscopy failed to identify the site of the hemorrhage. Abdominal computed tomography disclosed a cystic mass containing a well-enhanced spherical area at the pancreatic tail. Arterial blood flow was demonstrated in the lesion by Doppler ultrasound. Celiac angiography demonstrated a saccular pseudoaneurysm arising from the splenic artery. Bleeding from the ampulla of Vater located in a big duodenal diverticulum was found on repeat endoscopy. Surgical resection of the pseudoaneurysm with distal pancreatectomy and splenectomy was successfully performed. The patient remained symptom-free 5 months after the operation. Hemosuccus pancreaticus, although rare, remains important in the differential diagnosis of upper gastrointestinal bleeding of obscure origin. |
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Authors:
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Y T Hwang; C H Chen; H P Wang; P M Yang; S C Yu; C T Wu; T H Wang; J T Lin |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of the Formosan Medical Association = Taiwan yi zhi Volume: 95 ISSN: 0929-6646 ISO Abbreviation: J. Formos. Med. Assoc. Publication Date: 1996 Mar |
Date Detail:
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Created Date: 1997-02-10 Completed Date: 1997-02-10 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9214933 Medline TA: J Formos Med Assoc Country: TAIWAN |
Other Details:
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Languages: eng Pagination: 247-51 Citation Subset: IM |
Affiliation:
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Departments of Internal Medicine, National Taiwan University Hospital, Taipei. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aneurysm, False
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complications*,
surgery Diagnosis, Differential Gastrointestinal Hemorrhage / diagnosis, etiology* Humans Male Middle Aged Pancreatic Ducts Pancreatic Fistula / complications*, diagnosis, physiopathology, surgery Splenic Artery* Taiwan |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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