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Haemosuccus pancreaticus: a clinical challenge
G N Yattoo1, M S Khuroo, N A Wani
1Department of Gastroenterology, Sher-i-Kashmir Institute of Medical Sciences, Soura, Kashmir, India.
Journal of Gastroenterology and Hepatology
|February 24, 1999
Summary
Haemosuccus pancreaticus, a rare pancreatitis complication, presents diagnostic challenges. Surgical intervention in a young male patient successfully resolved obscure gastrointestinal bleeding and ascites.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
Background:
- Haemosuccus pancreaticus is a rare but challenging complication of pancreatitis.
- It often presents as obscure upper gastrointestinal bleeding, making diagnosis difficult.
Observation:
- A 25-year-old male presented with recurrent obscure upper gastrointestinal bleeding, pancreatitis, pseudocyst, ductal disruption, fistula, and pancreatic ascites.
- The patient underwent subtotal pancreatectomy, splenectomy, and pseudocyst drainage.
Findings:
- Despite inability to definitively ascertain pancreatic duct-vasculature communication, the patient remained free of ascites and gastrointestinal bleeding for 3 years post-surgery.
- This outcome strongly supports a diagnosis of haemosuccus pancreaticus.
Implications:
- The pancreas should be considered a potential source of obscure gastrointestinal bleeding.
- Early recognition and appropriate management are crucial for patients with suspected haemosuccus pancreaticus.
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