A Case of Hemosuccus Pancreaticus Showing Active Bleeding from the Ampulla of Vater / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 267-272, 2004.
Article
em Ko
| WPRIM
| ID: wpr-72089
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Ductos Pancreáticos
/
Ruptura
/
Artéria Esplênica
/
Ampola Hepatopancreática
/
Endoscopia Gastrointestinal
/
Falso Aneurisma
/
Diagnóstico Diferencial
/
Duodeno
/
Endoscopia
/
Pancreatite Crônica
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Humans
Idioma:
Ko
Revista:
Korean Journal of Gastrointestinal Endoscopy
Ano de publicação:
2004
Tipo de documento:
Article