Hemosuccus pancreaticus is a rare cause of gastrointestinal bleeding due to hemorrhage into the pancreatic duct, most commonly from. A small pseudoaneurysm was seen on the arterial phase within one of the pancreatic pseudocysts and appeared to be communicating with the pancreatic duct. For the wrist, a dorsal carpal wedge osteotomy with a possible flexor carpi ulnaris tendon transfer to preserve the arc of motion but reposition the wrist in extension and neutral deviation has been reported the clinical severity varied from limited range of motion at the shoulders and small calves without foot deformities in 1 family member, to overlapping fingers, camptodactyly, abnormal. This potentially lifethreatening complication of pancreatitis may pose a significant diagnostic and therapeutic dilemma, especially in patients who do not exhibit symptoms such as abdominal pain, jaundice, or gi bleeding. To present our experience with this potentially lifethreatening complication of chronic pancreatitis. Case report the japanese society of gastroenterological.
As a service to our customers we are providing this early version of the manuscript. Hemosuccus pancreaticus with superior mesenteric artery branch. Assalamualaikum brother, i seriously need your assistance in helping me find a raqi or sheikh with correct islamic aqeedah who can perform ruqya according to quran and sunnah on my younger brother. Also, the influences of timecourse and clinical appearance on the diagnosis of this problem are described. Most cases are diagnosed by contrastenhanced computed tomography ct or angiography, and the firstline treatment is transarterial embolization tae. Introduction hemosuccus pancreaticus is an unusual cause of gastrointestinal bleeding 1. It is the least frequent cause of upper gastrointestinal bleeding 11500 and is most often caused by chronic pancreatitis, pancreatic pseudocysts, or pancreatic tumors 1 3.
Diagnosis and treatment of hemosuccus pancreaticus during a nonbleeding episode. Endovascular treatment of acute gastrointestinal bleeding. Hemosuccus pancreaticus complicating chronic pancreatitis. Ct abdomen 192018 multiple calcific foci seen in head, body and tail of pancreas so chronic pancreatitis pseudocyst noted in head measuring 2 x 1. Ideal sources for wikipedia s health content are defined in the guideline wikipedia.
A rare case of gastrointestinal hemorrhage braz j vet pathol, 2018, 111, 12 18 doi. It may be caused by tumors, arteriovenous malformation, pancreatic lithiasis, aneurism rupture from adjacent vessels, or erosion of pancreatic and peripancreatic vessels due to chronic pancreatitis. Hemosuccus pancreaticus is a unusual syndrome manifested by hemorrhage into the pancreatic duct and by blood loss through the ampulla of vater. Pdf pseudoaneurysms of peripancreatic arteries usually arise as a complication of acute and chronic pancreatitis. Abstract hemorrhage from the pancreatic duct, referred to as hemosuccus pancreaticus or pseudohemobilia, is a rare cause of gastrointestinal gi bleeding. Pdf hemosuccus pancreaticus is a rare clinical condition, defined as a bleeding from an artery around the pancreas or a lesion on the.
Hospital medicine 2015, march 29april 1, national harbor, md. Similar pathology noted in ten other patients found in an extensive. Hemosuccus pancreaticus secondary to pseudoaneurysm of the. Hemosuccus pancreaticus from intraductal rupture of a primary. We report two cases of hemosuccus pancreaticus with multiple episodes of upper gastrointestinal bleeding. Hemorrhage from the pancreatic duct, referred to as hemosuccus pancreaticus or pseudohemobilia, is a rare cause of gastrointestinal gi bleeding. Hemosuccus pancreaticus is a very rare cause of upper gastrointestinal bleeding. Get a printable copy pdf file of the complete article 1. The trip database provides clinical publications about. Hemosuccus pancreaticus, which is generally due to the rupture of a splenic artery aneursym into the pancreatic duct, is a rare cause of intermittent. These cases illustrate that at times ct cannot reliably differentiate between collections that consist of fluid only and those that contain fluid and solid necrotic debris with or without. Hemosuccus pancreaticus, anz journal of surgery 10. Hemosuccus pancreaticus, a rare form of upper gastrointestinal bleeding, may complicate chronic pancreatitis and pose a significant diagnostic and therapeutic dilemma. Hp also popularly known as wirsungorrhaghia and pseudohemobilia is a rare cause of gastrointestinal bleed.
Diagnosis and treatment of hemosuccus pancreaticus during. The patient had experienced several episodes of acute pancreatitis in the previous 2 years. Approxiamtely 100 cases have been reported in the literature since it was first reported by lower in 1931. Hemosuccus pancreaticus is a very rare cause of gastrointestinal bleeding and it should be considered in every patient with history of chronic pancreatitis who presents with acute or intermittent. Bleeding from major and minor duodenal papillae due to. Since the bleeding is usually intermittent, it often remains undetected by endoscopy. Recurrent hemosuccus pancreaticus requiring coil embolization. Quarterly publication of the hellenic society of gastroenterology, volume 26. This is a pdf file of an unedited manuscript that has been accepted for publication. A case report of a patient with obscure intermittent gastrointestinal bleeding and silent chronic pancreatitis. Hemosuccus pancreaticus hp is a very rare and obscure cause of upper gastrointestinal bleeding.
His supplication in calling down blessings upon adam. Hemosuccus pancreaticus hp is a rare and potentially life threatening clinical entity and is described as bleeding from the ampulla of vater via the pancreatic duct. Hemosuccus pancreaticus caused by in situ carcinoma of the. A case of chronic pancreatitis with hemosuccus pancreaticus caused by a microrupture of the splenic artery with arteriosclerosing into the main pancreatic duct. Hemosuccus pancreaticus is the term coined to describe the rare case of bleeding observed to occur through the ampulla of vater. Keywords chronic calcifying pancreatitis, gi bleeding, hemosuccus pancreaticus ann gastroenterol 2012. It is caused by a bleeding source in the pancreas, pancreatic duct, or structures adjacent to the pancreas, such as the splenic artery, that bleed into the pancreatic duct, which is connected with the bowel at the duodenum, the first part of the small intestine. It usually occurs as a complication of chronic or acute pancreatitis, with. Clinical meet hemosuccus authorstream presentation. Hemosuccus pancreaticus pdf hemosuccus pancreaticus, also known as pseudohematobilia or wirsungorrhage is a rare cause of hemorrhage in the gastrointestinal tract. Hemosuccus pancreaticus in a patient with iodine allergy. The purpose of this study was to analyze the diagnostic and therapeutic features of hemosuccus pancreaticus. It is described as bleeding from ampulla of vater via the pancreatic duct.
Hemosuccus pancreaticus is a rare cause of intermittent upper gastrointestinal bleeding. Hemosuccus pancreaticus is a known complication of chronic pancreatitis. Hemosuccus pancreaticus, also known as pseudohematobilia or wirsungorrhage is a rare cause of hemorrhage in the gastrointestinal tract. As the patient stabilized there was no indication for repeat upper gastrointestinal endoscopy to confirm the diagnosis of haemosuccus pancreaticus. Hemosuccus pancreaticus secondary to pseudoaneurysm of. Hemosuccus pancreaticus hp is defined as gastrointestinal bleeding via the pancreatic duct and duodenal papilla.
Hemosuccus pancreaticus caused by in situ carcinoma of the pancreas a77yearoldwomanwasreferredtoour hospital because of dilatation of the main duct in the pancreatic body, as seen on transabdominal ultrasonography. Pancreatoduodenectomy for hemosuccus pancreaticus in. Hemosuccus pancreaticus hp is a rare cause of upper gastrointestinal bleeding. Hemosuccus pancreaticus hemosuccus pancreaticus callinan, aiden m samra, jaswinder s smith, ross c. Hemosuccus pancreaticus blood entering the gastrointestinal tract through the pancre atic ductis a rare and elusive form of gastrointestinal bleeding.
We describe the case of a 50 year old patient, who presented with complaints of melena, he was initially. The most common cause is a pseudoaneurysm of the peripancreatic arteries due to acute or chronic pancreatitis 1, 2. Pdf determining the cause of obscure bleeding in the gastrointestinal tract is the key in treating the disease. The unfamiliarity of this condition makes hp a diagnostic challenge. The japanese journal of gastroenterological surgery online. Hideaki nezuka, kazuhisa yabushita, shouzou houjou, masashi inokuchi, hideto fujita, seiichi yamamoto, masahide kaji, kiichi maeda and kohji konishi. Determining the cause of obscure bleeding in the gastrointestinal tract is the key in treating the disease. Although hemosuccus pancreaticus is a rare complication of chronic pancreatitis, it should be considered in cases of unexplained gastrointestinal bleeding. Serageldin f raslan, md 1 and surabah bansal, md 2. Bleeding from the major papilla in a patient with chronic pancreatitis. Clinical vignette abstracts adult case presentation.
Two cases of hemosuccus pancreaticus as the source of upper gastrointestinal bleeding of unknown cause are presented. Other infrequent causes are trauma, rupture of a true aneurysm, pancreatic tumors, arteriovenous malformations, and eusguided. A patient with recurrent upper gastrointestinal bleeding was found to have pancreatitis and a pseudoaneurysm of the splenic artery that communicated with the pancreatic duct. Hemosuccus pancreaticus hemosuccus pancreaticus julianov, alexander. Hemosuccus pancreaticus complicating chronic pancreatitis a. Hemosuccus pancreaticus, defined as bleeding into the pancreatic duct, is a rare cause of upper gastrointestinal hemorrhage. Hemosuccus pancreaticus hp refers to hemorrhage arising from the major duodenal papilla via the pancreatic duct, is a rare cause of intermittent upper gastrointestinal bleeding. The images are accompanied by brief case reports limit 2 typed pages, 4 references.
Endoscopic treatment was not performed at that juncture because there was no evidence of active bleeding. Hemosuccus pancreaticus secondary to pseudoaneurysm of the splenic artery. Introduction hemosuccus pancreaticus was the term first coined by sandblom in 1970 to describe the syndrome of gastrointestinal bleeding into the pancreatic duct. By hideaki obara, kentaro matsubara, masanori inoue. Hemosuccus pancreaticus an uncommon cause of gi bleed. However, in patients with recurrent bleeding or failed embolization, emergency surgery is required. Hemosuccus pancreaticus is a rare cause of hemorrhage in the gastrointestinal tract. Most cases reported in literature are associated with alcoholic. The causes of hemorrhage were rupture of pseudoaneurysm of the splenic artery and bleeding from the wall of pancreatic pseudocyst. Hemosuccus pancreaticus is usually caused by rupture of a pseudoaneurysm of a peripancreatic artery, often the splenic artery, in the setting of pancreatitis. Successful endovascular treatment of hemosuccus pancreaticus due to splenic artery aneurysm associated with segmental arterial mediolysis. Hemosuccus pancreaticus hp defined as bleeding into the pancreatic duct was first described in 1931 by lower and farell. Case of haemophilia a presenting as hp has not been reported.
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