Hemosuccus pancreaticus: a rare cause of gastroirtestiral bleeding

Hemosuccus pancreaticus: a rare complication of chronic pancreatitis

“…It is defined by bleeding from the Vater papilla through the pancreatic duct,1 also known as hemobilia or Wirsungorrhaghia 2. Most cases (60–80%) are due to a strictly pancreatic origin, such as: pancreatic malformations, ductal wall ulcers caused by pancreaticolothiasis and rupture of a peripancreatic pseudoaneurysm associated with a ductal-communicating pseudocyst 1 2…”

“…The development of a pseudoaneurysm occurs by enzymatic autodigestion and vessel wall erosion caused by necrotising inflammation due to pseudocyst formation 2 3…”

“…Splenic, common hepatic, gastroduodenal and pancreaticoduodenal arteries are most commonly involved 1 2. Gastroepiploic arteries are rarely involved in pseudoaneurysm formation 4.…”

Endoscopic intraductal radiofrequency ablation of remnant intrapapillary mucinous neoplasm with acute hemorrhage after incomplete surgical resection

“…Intraductal RFA has the potential to treat complications of intraductal tumor growth such as bleeding. Bleeding from the pancreatic duct often requires radiological or surgical intervention [2]. In the present case, RFA was used to treat bleeding.…”

Obscure gastrointestinal bleeding secondary to gastroduodenal pseudoaneurysm

“…3 Gastroduodenal artery (GDA) pseudoaneurysms comprise only 1.5% of all visceral artery aneurysms. 4 Although sometimes asymptomatic (~7.5% of cases), GDA pseudoaneurysms usually present with pain in the upper abdomen, gastrointestinal or intraperitoneal bleeding, or anemia.…”