Hemosuccus pancreaticus from a traumatic gastroduodenal pseudoaneurysm: an unusual cause of upper gastrointestinal bleeding.

H. J. Chung, M. C. Yu, J. M. Lien, L. B. Jeng, M. Y. Su

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

Hemosuccus pancreaticus, blood entering the gastrointestinal tract through the pancreatic duct, is a rare and elusive form of gastrointestinal bleeding with diagnostic difficulties. We report a 37-year-old man who had recurrent gastrointestinal bleeding from erosion of a pseudoaneurysm of the gastroduodenal artery into the pancreatic duct. The lack of history of pancreatitis, associated symptoms, equivocal endoscopic findings, and the rarity of this entity resulted in a delay in diagnosis. Pancreatic duct stenosis detected during surgery suggested the lesion might have been caused by blunt abdominal trauma. A nearly total pancreatectomy and splenectomy were performed. The patient remained symptom-free 8 months after the operation. This obscure cause of gastrointestinal bleeding should be considered when common causes of bleeding have been ruled out, even in the absence of pancreatitis.

Original languageEnglish
Pages (from-to)741-745
Number of pages5
JournalChang Gung Medical Journal
Volume24
Issue number11
Publication statusPublished - Nov 2001
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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