Document Detail

Hemosuccus pancreaticus: an uncommon cause of gastrointestinal hemorrhage. A case report.
MedLine Citation:
PMID:  15365206     Owner:  NLM     Status:  MEDLINE    
CONTEXT: Pseudoaneurysms of peripancreatic arteries usually arise as a complication of acute and chronic pancreatitis. These pseudoaneurysms may either bleed intra abdominally following rupture or may erode into the adjacent hollow viscera and manifest as gastrointestinal bleeding. Pseudoaneurysms rarely communicate with the pancreatic duct and bleeding occurs from the ampulla of Vater in the form of hemosuccus pancreaticus. CASE REPORT: We report a patient with chronic pancreatitis who presented with hemosuccus pancreaticus. Contrast enhanced computerized tomography and angiography revealed bleeding from a left gastric artery pseudoaneurysm. Despite multiple attempts, embolization was unsuccessful due to arterial spasm. The patient was successfully managed at emergency surgery by excision of the pseudoaneurysm sac and ligation of the left gastric artery. CONCLUSION: Bleeding from visceral artery pseudoaneurysms rarely manifests itself as hemosuccus pancreaticus. Most cases can be managed by angio-embolization. However, in patients with recurrent bleeding or failed embolization, emergency surgery is required.
Sorabh Kapoor; Pankaj Rao; Sujoy Pal; Tushar Kanti Chattopadhyay
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2004-09-10
Journal Detail:
Title:  JOP : Journal of the pancreas     Volume:  5     ISSN:  1590-8577     ISO Abbreviation:  JOP     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-09-14     Completed Date:  2005-05-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101091810     Medline TA:  JOP     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  373-6     Citation Subset:  IM    
Department of Gastrointestinal Surgery and Liver Transplantation, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
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MeSH Terms
Aneurysm, False / diagnosis*
Gastrointestinal Hemorrhage / etiology*
Gastrointestinal Tract / blood supply*
Middle Aged
Pancreatic Ducts / pathology*
Pancreatic Fistula / diagnosis*

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