Splenic artery pseudoaneurysm with hemosuccus pancreaticus requiring multimodal treatment

Journal of Vascular Surgery
Rhusheet Patel, Mark Girgis

Abstract

Termed hemosuccus pancreaticus by Sandblom in 1970, hemorrhage from the pancreatic duct into the gastrointestinal tract represents a rare and challenging problem. Patients present with repeated upper gastrointestinal bleeding that is intermittent but often self-limited. In most cases, this pathophysiologic process is secondary to pancreatitis, chronic inflammation, and subsequent splenic artery pseudoaneurysm bleeding. Previously treated with open splenectomy and distal pancreatectomy, hemosuccus pancreaticus is now often managed with minimally invasive endovascular means. We describe an uncommon presentation of hemosuccus pancreaticus in the absence of prior pancreatitis, requiring open splenectomy, distal pancreatectomy, and celiac artery ligation after failed endovascular intervention.

References

Mar 1, 1995·Pancreas·J S BenderD W Weaver
Jan 1, 1994·Journal of Vascular Surgery·W H WagnerJ L Cohen
Sep 25, 1997·Archives of Surgery·L P GambiezP A Quandalle
Feb 28, 2004·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Lisa StrömmerJohan Permert
Mar 29, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Nicholas J ZyromskiThomas J Howard
Oct 13, 2012·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Bing HanBei Sun
Jan 1, 2013·ISRN Radiology·Ashwin RammohanJeswanth Sathyanesan

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