Vnitr Lek 2016, 62(10):833-836

Hemosuccus pancreaticus - rare complication of chronic pancreatitis

Igor Šturdík1,*, Martin Kužma1, Zuzana Kužmová1, Tomáš Koller1, Vladimír Javorka2, Tibor Hlavatý1, Juraj Payer1
1 V. interná klinika LF UK a UN Bratislava, Nemocnica Ružinov, Slovenská republika
2 I. rádiologická klinika LF UK a UN Bratislava, Nemocnica Staré Mesto a Slovenská zdravotnícka univerzita Bratislava, Slovenská republika

Hemosuccus pancreaticus is a rare cause of upper digestive tract bleeding, it is hemorrhage to the pancreatic duct. A case report is about 56-years old man who was repeatedly hospitalized and suffered from melena and enterorrhagia during 3 years. Imaging studies did not clearly identified etiology of bleeding or source of hemorrhage was wrong identified. Finally, hemosuccus pancreaticus from collaterals of pseudoaneurysm after embolization was suspected because of repeating hemorrhage and embolization of a gastroduodenal artery in history. The interventional procedure was made in a the proximal part of the gastroduodenal artery with a good clinical response. This disease causes severe diagnostic and therapeutic problems, the unrecognized one can be fatal.

Keywords: enterorrhagia; hemosuccus pancreaticus; chronic pancreatitis; melena

Received: April 12, 2016; Accepted: June 16, 2016; Published: October 1, 2016  Show citation

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Šturdík I, Kužma M, Kužmová Z, Koller T, Javorka V, Hlavatý T, Payer J. Hemosuccus pancreaticus - rare complication of chronic pancreatitis. Vnitr Lek. 2016;62(10):833-836.
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