A Case of Hemosuccus Pancreaticus Showing Active Bleeding from the Ampulla of Vater / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 267-272, 2004.
Article
Dans Coréen
| WPRIM
| ID: wpr-72089
ABSTRACT
Hemorrhage through the pancreatic duct into the duodenum, so called 'hemosuccus pancreaticus', is a rare cause of gastrointestinal bleeding with diagnostic difficulties. We report a 44-year-old man with recurrent upper gastrointestinal bleeding due to rupture of pseudoaneurysm into the pancreatic duct. Initial upper gastrointestinal endoscopy failed to identity the site of the hemorrhage. Active bleeding from the ampulla of Vater in duodenum was found on repeat endoscopy. Abdominal computed tomography disclosed pseudoaneurysm arising from the splenic artery caused by chronic pancreatitis. Splenic angiogram showed large psudoaneurysmal sac with wide neck, arising from distal splenic artery. Angiographic embolization was successful in controlling the arterial hemorrhage. The patient remained symptom-free 5 months after the embolization. Hemosuccus pancreaticus, although rare, remains important in the differential diagnosis of upper gastrointestinal bleeding of obscure orgin.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Conduits pancréatiques
/
Rupture
/
Artère splénique
/
Ampoule hépatopancréatique
/
Endoscopie gastrointestinale
/
Faux anévrisme
/
Diagnostic différentiel
/
Duodénum
/
Endoscopie
/
Pancréatite chronique
Type d'étude:
Etude diagnostique
Limites du sujet:
Adulte
/
Humains
langue:
Coréen
Texte intégral:
Korean Journal of Gastrointestinal Endoscopy
Année:
2004
Type:
Article
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