Hemosuccus Pancreaticus

Shah, Somal; Barkin, Jamie S.

doi:10.1097/mpa.0b013e3181fe4afe

Cited by 6 publications

(7 citation statements)

References 3 publications

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“…The symptoms may range from melena to catastrophic hypovolemic shock. HP due to a directly communicating fistula between a pseudoaneurysm and duodenum has also been reported [ 8 ]. Other reported causes of HP include primary and metastatic pancreatic neoplasms, vascular anomalies like polyarteritis nodosa, α-1 antitrypsin deficiency, fibromuscular dysplasia of the arterial wall, and elastic tissue defects like Marfan's syndrome, and Ehlers-Danlos [ 9 - 11 ].…”

Section: Discussionmentioning

confidence: 99%

Life-Threatening Upper Gastrointestinal Hemorrhage in Hemosuccus Pancreaticus: A Case Report

Joshi¹,

CA²,

Gada³

et al. 2022

Cureus

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Hemosuccus pancreaticus (HP) is a rare cause of upper gastrointestinal bleeding caused by bleeding from the ampulla of Vater into the duodenum. HP most commonly results from a rupture of pseudoaneurysms secondary to chronic pancreatitis. The low incidence of HP and the wide spectrum of its clinical presentation poses diagnostic challenges. We present a case of a 39-year-old male with acute-on-chronic pancreatitis resulting in HP and obstructive jaundice due to pancreatic pseudocyst with secondary hematoma. This case highlights the rare occurrence of hypovolemic shock due to massive hemorrhage in HP and the successful management with prompt cardiovascular support and angiographic coil embolization of a bleeding pancreatic pseudoaneurysm.

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Section: Discussionmentioning

confidence: 99%

Life-Threatening Upper Gastrointestinal Hemorrhage in Hemosuccus Pancreaticus: A Case Report

Joshi¹,

CA²,

Gada³

et al. 2022

Cureus

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show abstract

“…This broad definition, thus, includes any bleeding source in the pancreas, pancreatic duct or pancreas-adjacent structures (eg, splenic artery) that can bleed into the pancreatic duct 7 8. While it is difficult to reliably estimate the prevalence, the current case series suggests haemosuccus pancreaticus make up <1% of upper GI bleeds 9–31…”

Section: Discussionmentioning

confidence: 95%

Haemosuccus pancreaticus and seven episodes of recurrent unlocalised upper gastrointestinal bleeding

Abdalla,

Panda

et al. 2024

BMJ Case Rep

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Upper gastrointestinal (GI) bleeding is a common medical condition that results in extensive morbidity and mortality, as well as substantial healthcare costs. While there is variation among society and consensus guidelines, the approaches to assessment and evaluation are generally consistent. Our case describes a man in his 40s who presented with seven episodes of recurrent upper GI bleeding over 2 years secondary to haemosuccus pancreaticus. While rare, this case study highlights key principles to the initial diagnostic approach that, in appropriate clinical contexts, should be applied to patients with unlocalised upper GI bleeding. We further perform a complete systematic review of similar cases available in PubMed (36 patients in 24 case reports) to further refine these diagnostic principles.

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“…10,11 Hemosuccus pancreaticus is bleeding in the pancreatic duct through the ampulla of Vater into the duodenum and is an extremely rare cause of GI bleeding associated with pseudoaneurysms. 11,12 In other cases, pseudoaneurysms have been mistaken for malignancy or even carcinomatosis peritonei. 13 Several case reports have reported mycotic or fungal aneurysm formation in association with HLH.…”

Section: Discussionmentioning

confidence: 99%

“…8,9 Given the anatomical location of the pancreas and surrounding splanchnic vessels, bleeding may occur in the bowel, peritoneal cavity, pancreatic duct (hemosuccus pancreaticus), or biliary tree. 10,11 Hemosuccus pancreaticus is bleeding in the pancreatic duct through the ampulla of Vater into the duodenum and is an extremely rare cause of GI bleeding associated with pseudoaneurysms. 11,12 In other cases, pseudoaneurysms have been mistaken for malignancy or even carcinomatosis peritonei.…”

Section: Discussionmentioning

confidence: 99%

Marginal Artery of Drummond Masquerading as a Fistulous Tract Resulting in Recurrent Lower Gastrointestinal Bleeding

Bejcek,

Ancha,

Amundsen

et al. 2023

ACG Case Rep J

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Lower gastrointestinal bleeding (LGIB) can be caused by a variety of causes. Pseudoaneurysms have been described as a rare etiology of LGIB and are associated with pancreatic pseudocysts that involve adjacent vasculature. Our study describes a 38-year-old man with recent severe coronavirus disease 2019 and necrotizing pancreatitis presenting with hematochezia and blood clots by gastrostomy-jejunostomy. Initial flexible sigmoidoscopy did not elicit an etiology for the LGIB. Recurrent hematochezia prompted colonoscopy and angiography, which demonstrated a pseudoaneurysm in the marginal artery of Drummond as the source. Our case highlights the importance of repeat evaluation of gastrointestinal bleeding of unknown etiology.

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Hemosuccus Pancreaticus

Cited by 6 publications

References 3 publications

Life-Threatening Upper Gastrointestinal Hemorrhage in Hemosuccus Pancreaticus: A Case Report

Life-Threatening Upper Gastrointestinal Hemorrhage in Hemosuccus Pancreaticus: A Case Report

Haemosuccus pancreaticus and seven episodes of recurrent unlocalised upper gastrointestinal bleeding

Marginal Artery of Drummond Masquerading as a Fistulous Tract Resulting in Recurrent Lower Gastrointestinal Bleeding

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