A Case of Hemosuccus Pancreaticus Mistaken for Hemobilia.
- Author:
Seung Hwa LEE
1
;
Dong Hee KOH
;
Seon Wook PARK
;
Ji Youn KIM
;
Young Wook KIM
;
Hyun Joo JANG
;
Sea Hyub KAE
;
Jin LEE
Author Information
1. Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea. dhkoh@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Hemosuccus pancreaticus;
Chronic pancreatitis;
Pseudoaneurysm;
Jaundice;
Hemobilia
- MeSH:
Alcoholism;
Ampulla of Vater;
Aneurysm, False;
Angiography;
Arteries;
Bile Ducts;
Cholangiopancreatography, Endoscopic Retrograde;
Common Bile Duct;
Endoscopy;
Female;
Gastrointestinal Hemorrhage;
Hemobilia;
Hemorrhage;
Humans;
Jaundice;
Jaundice, Obstructive;
Middle Aged;
Pancreatitis;
Pancreatitis, Chronic
- From:Korean Journal of Gastrointestinal Endoscopy
2009;39(6):389-392
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hemosuccus pancreaticus is a rare cause of chronic and intermittent chronic gastrointestinal hemorrhage, and this condition cannot be easily detected by endoscopy. We report here on a 51-year-old woman with obstructive jaundice and a history of acute pancreatitis and chronic alcoholism. Abdominal computed tomography showed a dilated distal common bile duct. We performed endoscopic retrograde cholangiopancreatography to decompress the bile duct and we found a blood clot on the orifice of the ampulla of Vater. Hemobilia with massive bleeding was seen during the examination. Angiography for controlling the hemorrhage showed the pseudoaneurysm of the pancreaticoduodenal artery. Angiographic embolization was successful for controlling the arterial hemorrhage. The patient remained symptom-free and he was discharged without complications.
