A Case of Hemosuccus Pancreaticus Associated with Pseudoaneurysm of Splenic Artery.
10.15279/kpba.2015.20.1.46
- Author:
Yang Hyun CHO
1
;
Chang Il KWON
;
Sun Mi JIN
;
Sang Hee SONG
;
Hyun Jung PARK
;
Dae Kyu SHIN
;
Pil Won PARK
Author Information
1. Digestive Disease Center, CHA Bundang Medical Center, CHA University, Seongnam, Korea. pwpark@cha.ac.kr
- Publication Type:Case Report
- Keywords:
Splenic artery pseudoaneurysm;
Hemosuccus pancreaticus;
Angiography;
Embolization
- MeSH:
Abdominal Cavity;
Abdominal Pain;
Adult;
Alcoholics;
Ampulla of Vater;
Aneurysm, False*;
Angiography;
Dizziness;
Female;
Follow-Up Studies;
Gastrointestinal Hemorrhage;
Gastrointestinal Tract;
Hemorrhage;
Humans;
Nausea;
Pancreatitis;
Pancreatitis, Chronic;
Peptic Ulcer;
Purpura, Thrombotic Thrombocytopenic;
Shock;
Splenic Artery*;
Tomography, X-Ray Computed;
Vomiting
- From:Korean Journal of Pancreas and Biliary Tract
2015;20(1):46-50
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Splenic artery pseudoaneurysm (SAP) is a rare condition, occurring from many causes like pancreatitis, peptic ulcer, surgery, abdominal trauma and iatrogenic origins. SAP poses a great challenge to clinicians because it can lead to a variety of symptoms from abdominal pain, nausea, vomiting to massive bleeding into gastrointestinal tracts as well as abdominal cavity. A 43-year-old female who had previously been managed for alcoholic chronic pancreatitis and thrombotic thrombocytopenic purpura was admitted with hematochezia and dizziness. Patient went into shock from bleeding, however, there was no bleeding focus on initial CT scan and gastroduodenoscopy. Shock occurred repeatedly due to the severe blood loss from gastrointestinal tracts. On the 4th day in hospital, duodenal bleeding was suspected on gastrointestinal bleeding scan and bleeding from ampulla of Vater was found on follow-up gastroduodenoscopy. SAP which causes hemosuccus pancreaticus was diagnosed on angiography and it was treated successfully by embolization.
