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5. Hemosuccus Pancreaticus Associated with Severe Acute Pancreatitis and Pseudoaneurysms: A Report of Two Cases

Author

Ray, Sukanta, Das, Khaunish, Ray, Sujay, Khamrui, Sujan, Ahammed, Mahiuddin, and Deka, Utpal

Subjects
Aneurysm, False, Embolization, Therapeutic, Pancreatic Pseudocyst, Pancreatitis
Abstract

Context Hemosuccus pancreaticus is a rare cause of upper gastrointestinal hemorrhage. The intensity of bleeding ranges from intermittent occult bleeding to massive acute bleeding leading to death. Although most cases can be managed by angioembolization, surgery plays an important role. Case report We report two cases of hemosuccus pancreaticus managed at our institution in the past three years. Both cases occurred associated with acute pancreatitis. A pseudocyst was found in one case. Angioembolization failed in one case and was not tried in the other because of hemodynamic instability. Both cases were successfully managed by surgery. Conclusion Timely intervention, either by embolization or by surgery, can control this potentially life-threatening bleeding. Choice of treatment, surgery or embolization, depends on technological availability and expertise of the practitioner., JOP. Journal of the Pancreas, Vol 12, N° 5 (2011): September - p. 435-501

Published
2011
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9. Hemosuccus pancreaticus associated with severe acute pancreatitis and pseudoaneurysms: a report of two cases.

Author

Ray S, Das K, Ray S, Khamrui S, Ahammed M, and Deka U

Subjects
Acute Disease, Adult, Aneurysm, False diagnostic imaging, Aneurysm, False surgery, Female, Gastrointestinal Hemorrhage diagnostic imaging, Gastrointestinal Hemorrhage surgery, Humans, Male, Middle Aged, Pancreas blood supply, Pancreas diagnostic imaging, Pancreas pathology, Pancreas surgery, Pancreatic Diseases diagnostic imaging, Pancreatic Diseases surgery, Pancreatitis diagnostic imaging, Pancreatitis surgery, Radiography, Severity of Illness Index, Aneurysm, False complications, Gastrointestinal Hemorrhage complications, Pancreatic Diseases complications, Pancreatitis complications
Abstract

Context: Hemosuccus pancreaticus is a rare cause of upper gastrointestinal hemorrhage. The intensity of bleeding ranges from intermittent occult bleeding to massive acute bleeding leading to death. Although most cases can be managed by angioembolization, surgery plays an important role., Case Report: We report two cases of hemosuccus pancreaticus managed at our institution in the past three years. Both cases occurred associated with acute pancreatitis. A pseudocyst was found in one case. Angioembolization failed in one case and was not tried in the other because of hemodynamic instability. Both cases were successfully managed by surgery., Conclusion: Timely intervention, either by embolization or by surgery, can control this potentially life-threatening bleeding. Choice of treatment, surgery or embolization, depends on technological availability and expertise of the practitioner.

Published
2011

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