Hemosuccus pancreaticus

Bavanandam, Sumathi; Dheivamani, Nirmala

doi:10.1007/s13312-017-1019-0

Cited by 2 publications

(3 citation statements)

References 6 publications

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“…HP is an extremely uncommon source of upper gastrointestinal bleeding (GIB), accounting for about 1/1500 cases of all GIB, and is often misdiagnosed in most community hospitals [2]. The clinical presentation of HP may include anemia, recurrent GIB (melena) and/or abdominal pain in the setting of normal pancreatic and liver enzymes [3]. HP may be related to pancreatic trauma, neoplasm, infection or vascular etiology like aneurysm, pseudoaneurysm, vasculitis, or lastly iatrogenic.…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic Ultrasound-assisted Diagnosis of Obscure Gastrointestinal Bleeding

Gupta

Kably

Girotra

2019

Cureus

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Hemosuccus pancreaticus (HP) describes hemorrhage originating from the pancreatic duct. HP is an extremely uncommon source of upper gastrointestinal bleeding and is often misdiagnosed in most community hospitals. HP is believed to be associated with arterial aneurysm, pancreatitis (acute or chronic), local inflammation, pseudocyst, and tumor or cystic neoplasms. We report a case of a 62-year-old man with multiple cysts in the pancreas on CT scan who presented with an obscure upper GI bleed in which we performed step-wise investigations that led us to the diagnosis of hemosuccus pancreaticus, which was made through endoscopic ultrasound. After diagnosis, the patient was treated successfully by interventional radiology.

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Section: Introductionmentioning

confidence: 99%

“…HP may be related to pancreatic trauma, neoplasm, infection or vascular etiology like aneurysm, pseudoaneurysm, vasculitis, or lastly iatrogenic. If undiagnosed, HP can be potentially life-threatening, and hence needs astute clinical suspicion [3].…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Ultrasound-assisted Diagnosis of Obscure Gastrointestinal Bleeding

Gupta

Kably

Girotra

2019

Cureus

View full text Add to dashboard Cite

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“…It occurs mainly in adults, accounting for about 1 of 1500 cases of upper gastrointestinal bleeding ( 2 ). Only a few cases have been reported in children, all associated with pancreatitis ( 3 – 5 ). To our knowledge, no cases have been reported in the pediatric literature from the United States.…”

Section: Introductionmentioning

confidence: 99%

Hemosuccus Pancreaticus Following Acute Pancreatitis in a 12-years-old Boy Secondary to Pancreatic Pseudoaneurysm Treated With Endovascular Coil Embolization

et al. 2021

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Hemosuccus pancreaticus is a very rare cause of upper gastrointestinal bleeding in children. It is defined as bleeding from the pancreatic or peripancreatic vessels into the main pancreatic duct and may be life-threatening. We present the case of a 12-year-old boy with hematemesis and severe anemia that developed following an episode of acute pancreatitis. Upper endoscopy did not reveal a bleeding source. An endoscopic retrograde cholangiopancreatography performed for the evaluation of common bile duct obstruction identified bleeding from the pancreatic duct. Subsequently, the bleeding source, a pseudoaneurysm of the splenic artery, was identified by conventional angiography and occluded with coil embolization. The diagnosis of hemosuccus pancreaticus may be difficult in children due to rare occurrence and the unusual anatomical site; hence, a high index of suspicion is needed in a patient with a history of pancreatitis who presents with intermittent upper gastrointestinal bleeding and normal upper endoscopy.

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Hemosuccus pancreaticus

Abstract: Hemosuccus pancreaticus is to be considered in children with chronic pancreatitis presenting with recurrent gastrointestinal bleeding and conventional angiography with coil embolization is helpful.

Cited by 2 publications

References 6 publications

Endoscopic Ultrasound-assisted Diagnosis of Obscure Gastrointestinal Bleeding

Endoscopic Ultrasound-assisted Diagnosis of Obscure Gastrointestinal Bleeding

Hemosuccus Pancreaticus Following Acute Pancreatitis in a 12-years-old Boy Secondary to Pancreatic Pseudoaneurysm Treated With Endovascular Coil Embolization

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