Document Detail

Hemosuccus pancreaticus from a splenic artery pseudoaneurysm: an unusual cause of upper gastrointestinal bleeding.
MedLine Citation:
PMID:  8857259     Owner:  NLM     Status:  MEDLINE    
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.
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:
Type:  Case Reports; Journal Article    
Journal Detail:
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:
Created Date:  1997-02-10     Completed Date:  1997-02-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9214933     Medline TA:  J Formos Med Assoc     Country:  TAIWAN    
Other Details:
Languages:  eng     Pagination:  247-51     Citation Subset:  IM    
Departments of Internal Medicine, National Taiwan University Hospital, Taipei.
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MeSH Terms
Aneurysm, False / complications*,  surgery
Diagnosis, Differential
Gastrointestinal Hemorrhage / diagnosis,  etiology*
Middle Aged
Pancreatic Ducts
Pancreatic Fistula / complications*,  diagnosis,  physiopathology,  surgery
Splenic Artery*

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