Hemosuccus Pancreaticus due to Intraductal Pseudoaneurysm.
10.15279/kpba.2016.21.1.40
- Author:
Ye Jin LEE
1
;
Jong Jin HYUN
;
Ju Hee CHOI
;
Yura SIM
;
Hong Kwon OH
;
Hwan Il KIM
;
Hong Sik LEE
;
Chang Duck KIM
Author Information
1. Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. sean4h@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Pancreatitis;
Pseudoaneurysm;
Hemosuccus pancreaticus;
Angiography;
Pancreatectomy
- MeSH:
Abdominal Cavity;
Aged;
Ampulla of Vater;
Aneurysm, False*;
Angiography;
Arteries;
Duodenum;
Endoscopy;
Gastrointestinal Hemorrhage;
Gastrointestinal Tract;
Hemorrhage;
Humans;
Pancreas;
Pancreatectomy;
Pancreatic Ducts;
Pancreatitis
- From:Korean Journal of Pancreas and Biliary Tract
2016;21(1):40-44
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pseudoaneurysm is one of life-threatening complications of chronic or acute pancreatitis. It can lead to massive bleeding into the abdominal cavity, the retroperitoneum, or the gastrointestinal tract. Hemosuccus pancreaticus, meaning hemorrhage through the pancreatic duct into the duodenum is an important diagnostic clue suggesting the presence of pancreatic pseudoaneurysm. A 74-year-old man presented with hematochezia and active bleeding from the ampulla of Vater was noted on upper endoscopy. Abdominal computed tomography scan demonstrated a nodular enhancing lesion within the pancreatic duct. Celiac trunk angiography also showed a nodular enhancing lesion suggesting pseudoaneurysm in the pancreas. However, due to the difficulty of identifying the feeder artery of pseudoaneurysm by selective angiography, embolization was not feasible. Therefore, distal pancreatectomy was performed and ruptured pseudoaneurysm within the pancreatic duct could be confirmed. Herein, we report a case of hemosuccus pancreaticus due to ruptured intraductal pseudoaneurysm that was successfully treated by surgical management.
