Aneurysmen peripankreatischer Arterien in der Spiral-CT-Angiographie bei Haemosuccus pancreaticus

Ej, Malzfeldt; Oh, Wegener

doi:10.1055/s-2007-1015538

Cited by 2 publications

(1 citation statement)

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“…The ‘sentinel clot sign’, characterized by presence of blood clots in the pancreatic duct on CT scan, may also provide a clue to the diagnosis [22]. Three-dimensional CT angiography in addition to establishing the diagnosis allows evaluation of details including size of the aneurysm and surrounding viscera, and is hence useful in determining the appropriate therapeutic intervention [12, 23]. However, CT interpretation by a radiologist with expertise in vascular radiology is extremely important to avoid missing subtle vascular findings.…”

Section: Discussionmentioning

confidence: 99%

Hemosuccus Pancreaticus in the Era of Capsule Endoscopy and Double Balloon Enteroscopy Complicated by Multifocal <i>Mycobacterium chelonae/abscessus</i> Infection

Blair

Garvey²,

Gray³

et al. 2007

Case Rep Gastroenterol

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Hemosuccus pancreaticus is a rare etiology of obscure gastrointestinal bleeding characterized by bleeding into the pancreatic duct. The diagnosis may be delayed for months to years, due to the episodic nature of bleeding and failure to consider the diagnosis. Patients often undergo multiple endoscopies and radiologic evaluations prior to diagnosis. Incidental gastrointestinal findings may lead to unnecessary endoscopic and surgical interventions. This report describes a patient with hemosuccus pancreaticus diagnosed in the era of video capsule endoscopy and double balloon enteroscopy, whose management was complicated by multifocal Mycobacteria chelonae/abscessus infection.

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Section: Discussionmentioning

confidence: 99%

Hemosuccus Pancreaticus in the Era of Capsule Endoscopy and Double Balloon Enteroscopy Complicated by Multifocal <i>Mycobacterium chelonae/abscessus</i> Infection

Blair

Garvey²,

Gray³

et al. 2007

Case Rep Gastroenterol

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Hemosuccus pancreaticus: diagnosis with CT and MRI and treatment with transcatheter embolization

Koizumi

Inoue²,

Yonekawa³

et al. 2002

Abdom Imaging

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We report the case of a 56-year-old woman with a presyncopal episode followed by melena. A sentinel clot sign in the pancreatic duct on precontrast computed tomography and the presence of a splenic artery aneurysm on postcontrast computed tomography strongly suggested a fistula between the aneurysm and the duct, as visualized by magnetic resonance imaging. The patient was treated successfully by complete embolization of the splenic artery aneurysm.

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Aneurysmen peripankreatischer Arterien in der Spiral-CT-Angiographie bei Haemosuccus pancreaticus

Cited by 2 publications

References 0 publications

Hemosuccus Pancreaticus in the Era of Capsule Endoscopy and Double Balloon Enteroscopy Complicated by Multifocal <i>Mycobacterium chelonae/abscessus</i> Infection

Hemosuccus Pancreaticus in the Era of Capsule Endoscopy and Double Balloon Enteroscopy Complicated by Multifocal <i>Mycobacterium chelonae/abscessus</i> Infection

Hemosuccus pancreaticus: diagnosis with CT and MRI and treatment with transcatheter embolization

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