Hemosuccus Pancreaticus: Challenging Diagnosis and Treatment

  • Nader Mekheal St Joseph’s University Medical Center, Paterson, NJ, USA
  • Mina Fransawy Alkomos St Joseph’s University Medical Center, Paterson, NJ, USA
  • Sherif Roman St Joseph’s University Medical Center, Paterson, NJ, USA
  • Erinie Mekheal St Joseph’s University Medical Center, Paterson, NJ, USA
  • Alisa Farokhian St Joseph’s University Medical Center, Paterson, NJ, USA
  • Christopher Millet Saint Joseph's University Medical Center, Peterson, NJ, USA
  • Hardikkumar Shah Saint Joseph's University Medical Center
  • Gabriel Melki St Joseph’s University Medical Center, Paterson, NJ, USA
  • Walid Baddoura St Joseph’s University Medical Center, Paterson, NJ, USA

Keywords

Pancreatitis, hemosuccus pancreaticus, upper gastrointestinal bleeding, arterial embolization

Abstract

Hemosuccus pancreaticus (HP) is defined as bleeding from the ampulla of Vater through the pancreatic duct. It is a rare complication associated with acute or chronic pancreatitis. The source of bleeding can be from the pancreas itself or surrounding vessels, with the splenic artery most commonly involved. Diagnosing HP is challenging and computed tomography angiography remains the gold standard for diagnosis. We present the case of a 62-year-old male with recurrent pancreatitis complicated with HP. Imaging and endoscopy were consistent with bleeding from the section portion of the duodenum, which resolved without intervention.

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  • Published: 2022-05-11

    Issue: 2022: Vol 9 No 5 (view)

    Section: Articles

    How to cite:
    1.
    Mekheal N, Alkomos M, Roman S, Mekheal E, Farokhian A, Millet C, Shah H, Melki G, Baddoura W. Hemosuccus Pancreaticus: Challenging Diagnosis and Treatment. EJCRIM 2022;9 doi:10.12890/2022_003337.