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Case Reports
. 2015 Jun 25:2015:bcr2015209872.
doi: 10.1136/bcr-2015-209872.

Hemosuccus pancreaticus: a rare complication of chronic pancreatitis

Joana Ferreira  1 , Amelia Brandao Tavares  1 , Elsa Costa  1 , Jorge Maciel  1
Affiliations
Case Reports

Hemosuccus pancreaticus: a rare complication of chronic pancreatitis

Joana Ferreira et al. BMJ Case Rep. .

Abstract

Hemosuccus pancreaticus is a very rare cause of gastrointestinal bleeding and it should be considered in every patient with history of chronic pancreatitis who presents with acute or intermittent gastrointestinal haemorrhage. A 54-year-old man with a history of chronic alcoholic pancreatitis was admitted to hospital for an acute exacerbation. During hospital stay, he presented with haematemesis and haemodynamic instability. Upper gastrointestinal endoscopy revealed a blood clot on Vater papilla. CT investigation showed a 4 cm cephalopancreatic pseudocyst and angiography identified a large pseudoaneurysm of the right gastroepiploic artery, bleeding into the pseudocyst-hemosuccus pancreaticus. Microcoil transcatheter embolisation was performed with success.

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Figures

Figure 1
Figure 1
Axial CT scan showing the pseudoaneurysm (asterisk) within a large pancreatic pseudocyst.
Figure 2
Figure 2
Coronal contrast CT identified a 4 cm pseudoaneurysm (asterisk) of the right gastroepiploic artery (arrow).
Figure 3
Figure 3
Tomographic reconstruction imaging exposing the pseudoaneurysm (asterisk) of the right gastroepiploic artery (arrow).
See this image and copyright information in PMC

References

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