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. 2010 Jul 1;2010(5):4.
doi: 10.1093/jscr/2010.5.4.

Haemosuccus pancreaticus due to true splenic artery aneurysm: a rare cause of massive upper gastrointestinal bleeding

S Sadhu  1 , S Sarkar  1 , R Verma  1 , Sk Dubey  1 , Mk Roy  1
Affiliations

Haemosuccus pancreaticus due to true splenic artery aneurysm: a rare cause of massive upper gastrointestinal bleeding

S Sadhu et al. J Surg Case Rep. .

Abstract

"Haemosuccus pancreaticus" is an unusual cause of severe upper gastrointestinal bleeding and results from rupture of splenic artery aneurysm into the pancreatic duct. More commonly, it is a pseudoaneurysm of the splenic artery which develops as sequelae of pancreatitis. However, true aneurysm of the splenic artery without pancreatitis has rarely been incriminated as the etiologic factor of this condition. Owing to the paucity of cases and limited knowledge about the disease, diagnosis as well as treatment become challenging. Here we describe a 60-year-old male presenting with severe recurrent upper gastrointestinal bleeding and abdominal pain, which, after considerable delay, was diagnosed to be due to splenic artery aneurysm. Following an unsuccessful endovascular embolisation, the patient was cured by distal pancreatectomy and ligation of aneurysm.

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Figures

Fig.1
Fig.1
Contrast CT shows partially thrombosed splenic artery aneurysm. ( A =aneurysm, SA =splenic artery, CA =celiac artery, P =pancreas)
Fig. 2
Fig. 2
3D-CT reconstruction of the aneurysm ( HA =hepatic artery, LG =left gastric artery, A =aneurysm, K =kidney)
Fig. 3
Fig. 3
Intra-operative photograph of aneurysm
Fig. 4
Fig. 4
Vascular loop around the splenic artery proximal to aneurysm
Fig. 5
Fig. 5
Photograph of resected specimen
See this image and copyright information in PMC

References

    1. Sandbloom P. Gastrointestinal Hemorrhage Through the Pancreatic Duct. Annals of Surgery 1970. Jan;171(1):61–67 - PMC - PubMed
    1. Fazel I, Soleimani HA, Fallah S, Babaei M, Sedighi N, Marashi A, Beniaz F, Malekzadeh R. Hemosuccus pancreaticus in a Patient with Celiac Trunk Aneurysm. Arch Iranian Med 2008;11(6):658–661 - PubMed
    1. Sakorafas GH, Sarr MG, Farley DR, Que FG, Andrews JC, Farnell MB. Hemosuccus pancreaticus complicationg chronic pancreatitis: an obscure cause of upper gastrointestinal bleeding. Langenbecks Arch Surg 2000. Mar;385(2):124–8 - PubMed
    1. Fernandez-Cruz L, pera M, Vilella A, Llovera JM, Navasa M, teres J. Hemosuccus pancreaticus from a pseudoaneurysm of the hepatic artery proper in a patient with a pancreatic pseudocyst. Hepatogastroenterology 1992. Apr;39(2):149–51 - PubMed
    1. Bohl JL, Dossett LA, Grau AM. Gastroduodenal artery pseudoaneurysm associated with hemosuccus pancreaticus and obstructive jaundice. J Gastrointest Surg 2007. Dec;11(12):1752–2 Epub 2007 Jul 17 - PubMed