Korean J Pancreas Biliary Tract.  2015 Jan;20(1):46-50. 10.15279/kpba.2015.20.1.46.

A Case of Hemosuccus Pancreaticus Associated with Pseudoaneurysm of Splenic Artery

• Cho YH
• Kwon CI
• Jin SM
• Song SH
• Park HJ
• Shin DK
• Park PW

• KMID: 2448473
• DOI: http://doi.org/10.15279/kpba.2015.20.1.46

Abstract

Splenic artery pseudoaneurysm (SAP) is a rare condition, occurring from many causes like pancreatitis, peptic ulcer, surgery, abdominal trauma and iatrogenic origins. SAP poses a great challenge to clinicians because it can lead to a variety of symptoms from abdominal pain, nausea, vomiting to massive bleeding into gastrointestinal tracts as well as abdominal cavity. A 43-year-old female who had previously been managed for alcoholic chronic pancreatitis and thrombotic thrombocytopenic purpura was admitted with hematochezia and dizziness. Patient went into shock from bleeding, however, there was no bleeding focus on initial CT scan and gastroduodenoscopy. Shock occurred repeatedly due to the severe blood loss from gastrointestinal tracts. On the 4th day in hospital, duodenal bleeding was suspected on gastrointestinal bleeding scan and bleeding from ampulla of Vater was found on follow-up gastroduodenoscopy. SAP which causes hemosuccus pancreaticus was diagnosed on angiography and it was treated successfully by embolization.

Keyword

Splenic artery pseudoaneurysm; Hemosuccus pancreaticus; Angiography; Embolization

MeSH Terms

Abdominal Cavity
Abdominal Pain
Adult
Alcoholics
Ampulla of Vater
Aneurysm, False*
Angiography
Dizziness
Female
Follow-Up Studies
Gastrointestinal Hemorrhage
Gastrointestinal Tract
Hemorrhage
Humans
Nausea
Pancreatitis
Pancreatitis, Chronic
Peptic Ulcer
Purpura, Thrombotic Thrombocytopenic
Shock
Splenic Artery*
Tomography, X-Ray Computed
Vomiting