J Korean Soc Radiol.  2022 Nov;83(6):1418-1425. 10.3348/jksr.2021.0002n.

Case Reports of Intravascular Treatment for Gastrointestinal Bleeding Associated with Pancreatitis: Hemosuccus Pancreaticus and Pancreaticocolic Fistula

Affiliations
  • 1Department of Radiology, Kangwon National University Hospital, College of Medicine, Kangwon National University, Chuncheon, Korea
  • 2Department of Radiology, Korea University Ansan Hospital, Ansan, Korea
  • 3Department of Radiology, Soonchunhyang University Cheonan Hospital, Cheonan, Korea
  • 4Department of Radiology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea

Abstract

Elderly patients with a history of chronic alcoholism presented to our hospital with episodes of melena, abdominal pain, and anemia. During admission, hemorrhagic cystic lesion at the pancreas was observed on abdominal CT. Transcatheter angiography confirmed active bleeding foci and arterial embolization was performed. After the procedure, the bleeding was resolved. The authors report two cases of hemosuccus pancreaticus and pancreaticocolic fistula associated with pancreatitis, a rare cause of gastrointestinal bleeding, treated with vascular intervention.

Keyword

Pancreatitis; Acute Hemorrhagic; Pancreatic Fistula; Gastrointestinal Hemorrhage; Pancreatitis; Endovascular Procedures
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