Hemosuccus pancreaticus from superior mesenteric artery pseudoaneurysm within perceived pancreatic mass

Clinical Journal of Gastroenterology
Michelle Maggie Shnayder, Prasoon Mohan

Abstract

Bleeding from the pancreatic duct is a rare source of gastrointestinal hemorrhage and is referred to as hemosuccus pancreaticus. Often a result of pseudoaneurysm formation from chronic pancreatitis, hemosuccus pancreaticus is a difficult diagnosis due to its peculiar clinical presentation. This is a case of a 51-year-old male with a history of chronic pancreatitis, who initially presented with a pancreatic mass found on CT scan. The mass was found to be inconclusive for malignancy on endoscopic ultrasound-guided fine needle aspiration. The patient subsequently was lost to follow-up and returned with melena and evidence of a superior mesenteric pseudoaneurysm in the previous mass on CT angiography. The pseudoaneurysm was successfully treated with endovascular embolization. Diagnosis of hemosuccus pancreaticus can be challenging due to the intermittent nature of hemorrhage and the variable clinical presentation-which initially appeared as a pancreatic neoplasm in our patient. Repeat imaging and angiography are invaluable for both the diagnosis and treatment of gastrointestinal bleeding from an unknown source in the setting of chronic pancreatitis.

References

Dec 25, 2004·Journal of Hepato-biliary-pancreatic Surgery·Masashi WatanabeKazuo Kobayashi
Sep 1, 2009·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Velayutham VimalrajRajagopal Surendran
Oct 18, 2011·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Abdurrahim SayilirNurgul Sasmaz
Nov 2, 2011·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Hee-Woo ChoKi Whang Kim
May 9, 2012·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Jaideep U Barge, Jorge E Lopera
Jun 12, 2013·Diagnostic and Interventional Imaging·E FrampasG Meurette
Dec 9, 2014·Endoscopic Ultrasound·Narendra ChoudharyRandhir Sud

❮ Previous
Next ❯

Citations

Jan 15, 2021·Journal of Gastroenterology and Hepatology·H S YashavanthD N Reddy
Jan 21, 2022·Journal of Investigative Medicine High Impact Case Reports·Zahid Ijaz TararRyan M Davis

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.