"Hemosuccus pancreaticus"

Splenic artery pseudoaneurysm with hemosuccus pancreaticus requiring multimodal treatment. Termed hemosuccus pancreaticus by Sandblom in 1970, hemorrhage from the pancreatic duct into the gastrointestinal tract represents a rare and challenging problem. Patients present with repeated upper gastrointestinal bleeding that is intermittent but often self-limited. In most cases, this pathophysiologic process is secondary to pancreatitis, chronic inflammation, and subsequent splenic artery pseudoaneurysm bleeding. Previously treated with open splenectomy and distal pancreatectomy, hemosuccus pancreaticus is now often managed with minimally invasive endovascular means. We describe an uncommon presentation of hemosuccus pancreaticus in the absence of prior pancreatitis, requiring open splenectomy

Hemosuccus Pancreaticus: A Rare Bleeding Pseudoaneurysm of the Inferior Pancreaticoduodenal Artery Treated with Embolization Hemosuccus pancreaticus is a very rare cause of gastrointestinal bleeding and can be life-threatening if not managed appropriately. Still thought to be a surgical problem, advances in medical therapy now afford these patients the opportunity to undergo less-invasive angiography techniques to manage this illness when it occurs. Here, we present a case of hemosuccus pancreaticus safely managed with liquid N-butyl-2-cyanoacrylate embolization.

Hemosuccus pancreaticus successful treatment by double balloon-assisted coil embolization for active bleeding from the main trunk of the superior mesenteric artery We report a case of a 63-year-old man with hemosuccus pancreaticus due to large pseudoaneurysm originating from the main trunk of the superior mesenteric artery (SMA). The patient was treated successfully with the double balloon

Hemosuccus pancreaticus: A mini-review Determining the cause of obscure bleeding in the gastrointestinal tract is the key in treating the disease. Hemosuccus pancreaticus (HP) could be an extremely rare disease. Ordinarily, bleeding in the pancreatic duct is defined as HP. At present, HP is the least frequent cause of upper gastrointestinal bleeding (1/1500), but can lead to massive

Endovascular management of hemosuccus pancreaticus, a rare case report of gastrointestinal bleeding. Hemorrhage from the pancreatic duct, or hemosuccus pancreaticus (HP), is an unusual cause of intermittent gastrointestinal bleeding. HP is most often diagnosed in patients with chronic pancreatitis, and is usually due to the rupture of an aneurysm in the splenic artery. The traditional treatment

Hemosuccus Pancreaticus as a Rare Complication of Bariatric Surgery Hemosuccus pancreaticus is a rare cause of gastrointestinal bleeding from the duct of Wirsung into the duodenum via the ampulla of Vater. Hemosuccus pancreaticus is difficult to diagnose because the bleeding is usually intermittent, and the clinical findings are often discordant. Patients present with pain, either left upper quadrant or epigastric, and bleeding, which may present as melena, bright red blood per rectum, or even shock, if the hemorrhage is severe. Hemosuccus pancreaticus is usually caused by rupture of a pseudoaneurysm of a peri-pancreatic artery, often the splenic artery, in the setting of pancreatitis; other causes are very rare. In this report, for the first time to our knowledge, we present a case

, trauma, iatrogenic, or neoplastic [1]. Some rare causes of nonvariceal UGIB include hemobilia, hemosuccus pancreaticus, and aortoenteric fistula [3,4]. UGIB frequently presents with hematemesis or melena. However, a minority of patients can present with hematochezia [2]. GI bleeding (GIB) is either overt or occult. Patients with overt GIB present with signs of visible bleeding such as hematemesis

endoscopy. Surgery may be offered if there is significant calcification and/or mass of the pancreatic head. Percutaneous endovascular treatment is preferred for hemosuccus pancreaticus. Surgical treatment is recommended for duodenal stenosis due to chronic pancreatitis. This international expert consensus guideline provides evidenced-based statements concerning indications and key aspects

], and extrahepatic arterial injury after pancreatic surgery [13]. Other surveys have reported similar findings, with a relatively higher proportion of variceal hemorrhage and erosive gastritis in inner-city populations [14-17]. Rare entities such as hemobilia and hemosuccus pancreaticus can cause UGIB with the latter estimated to be the responsible etiology in 1 of every

are extrinsically distorted by a mass lesion. View Media Gallery Digestion of an adjacent vessel can result in a pseudoaneurysm, which can produce a sudden expansion of the cyst or gastrointestinal bleeding due to bleeding into the pancreatic duct (hemosuccus pancreaticus).Pancreatic ascites and pleural effusion can result from disruption of the pancreatic duct, leading to fistula formation to the abdomen

extravasation (arrow). * * Duodenal resected specimen showing a submucosal mass with a central ulceration (arrow) (same patient as previous image). * * Gastroduodenal arteriogram with a pancreatic pseudoaneurysm (arrow). * * Control of upper GI hemorrhage by coil occlusion of the pancreatic artery pseudoaneurysm (arrow) (same patient as previous image). * * Hemosuccus pancreaticus in patient , angiography can be helpful in the detection of as much as 50% of occult UGIB.(See the images below.)Bleeding from duodenal leiomyoma. Gastroduodenal arteriogram showing a duodenal mass with active contrast extravasation (arrow). View Media Gallery Duodenal resected specimen showing a submucosal mass with a central ulceration (arrow) (same patient as previous image). View Media Gallery Hemosuccus

are extrinsically distorted by a mass lesion. View Media Gallery Digestion of an adjacent vessel can result in a pseudoaneurysm, which can produce a sudden expansion of the cyst or gastrointestinal bleeding due to bleeding into the pancreatic duct (hemosuccus pancreaticus).Pancreatic ascites and pleural effusion can result from disruption of the pancreatic duct, leading to fistula formation to the abdomen

Endovascular treatment of a hepatic artery pseudoaneurysm associated with gastrointestinal tract bleeding. Hemosuccus pancreaticus is a rare cause of gastrointestinal bleeding from the pancreatic duct originating from aneurysms or pseudoaneurysms of peripancreatic arteries. It is a life-threatening cause of gastrointestinal bleeding that should always be considered in patients with prolonged

Hemosuccus pancreaticus secondary to intraductal rupture of a primary splenic artery aneurysm: diagnosis by ERCP and successful management by interventional radiology. This report describes the case of a 65-year-old man with a prolonged history of gastrointestinal bleeding of unknown origin. During a 2-year period, he underwent 28 endoscopic procedures, three angiographies with or without heparin provocation, a nuclear scan, and abdominal magnetic resonance imaging, none of which were diagnostic. A blind ileocecal resection was also carried out. A diagnosis of hemosuccus pancreaticus secondary to a ruptured primary splenic artery aneurysm was obtained by endoscopic retrograde cholangiopancreatography, and successful interventional radiographic embolization of the splenic artery aneurysm

Successful endovascular treatment of hemosuccus pancreaticus due to splenic artery aneurysm associated with segmental arterial mediolysis. Hemosuccus pancreaticus, which is generally due to the rupture of a splenic artery aneursym into the pancreatic duct, is a rare cause of intermittent upper gastrointestinal hemorrhage. Segmental arterial mediolysis (SAM) is a rare arteriopathy. We report a 53 -year-old man with hemosuccus pancreaticus due to a splenic artery aneurysm associated with SAM. The patient, who also had a celiac artery aneurysm affected by SAM, was successfully treated by both coil embolization and aortic stent grafting for complete coverage of the celiac artery. SAM is a very rare cause of hemosuccus pancreaticus, and endovascular treatment may be favorable for hemosuccus

Gastroduodenal artery pseudoaneurysm associated with hemosuccus pancreaticus and obstructive jaundice. A 42-year-old male was admitted with recurrent gastrointestinal bleeding and new-onset jaundice. Computed tomography showed a persistent gastroduodenal artery pseudoaneurysm and dilated intrahepatic and extrahepatic ducts consistent with obstructive jaundice. This patient had two previous coil

, technique, and clinical outcomes for EUS-guided angiotherapy for severe refractory bleeding after conventional therapies. The EUS database was reviewed to identify all patients who underwent EUS-directed angiotherapy. Five patients, four with severe bleeding from hemosuccus pancreaticus, Dieulafoy lesion, duodenal ulcer, or gastrointestinal stromal tumor (GIST) and one with occult GI bleeding, had

Hemosuccus pancreaticus. An unusual cause of upper gastrointestinal bleeding. Two cases of hemosuccus pancreaticus as the source of upper gastrointestinal bleeding of unknown cause are presented. The literature on this rare cause of gastrointestinal blood loss is reviewed. Also, the influences of time-course and clinical appearance on the diagnosis of this problem are described.

Hemosuccus Pancreaticus following a Puestow Procedure in a Patient with Chronic Pancreatitis Hemosuccus pancreaticus is an unusual cause of gastrointestinal bleeding that occurs as a complication of chronic or acute pancreatitis. We report a case of extremely acute-onset hemosuccus pancreaticus occurring in a patient with chronic pancreatitis over a long-term follow-up after a Puestow procedure

at the proximal anastomosis at the third or fourth portion of the duodenum where it is retroperitoneal and near the aorta.[5][6][7] * Hematobilia, or bleeding from the biliary tree * Hemosuccus pancreaticus, or bleeding from the pancreatic duct * Severe superior mesenteric artery syndrome Diagnosis[edit]Endoscopic image of small gastric ulcer with visible vesselThe diagnosis of upper