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[Haemosuccus pancreaticus].

B Jon1, S Rejchrt, Z Voboril

  • 1Chirurgische Universitätsklinik der Medizinischen Fakultät, Karls' Universität, Hradec Králové, Tschechische Republik. jon@fnhk.cz

Zentralblatt Fur Chirurgie
|April 26, 2005
PubMed
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Haemosuccus pancreaticus, a rare cause of GI bleeding, involves blood from an artery aneurysm entering the pancreatic duct. Diagnosis and treatment options like embolization or surgery are discussed for this condition.

Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Interventional Radiology

Background:

  • Haemosuccus pancreaticus is an uncommon cause of gastrointestinal hemorrhage.
  • It results from an arteriovenous fistula between an artery near the pancreas and the pancreatic duct.

Observation:

  • This case series details clinical observations of patients with haemosuccus pancreaticus.
  • The study highlights the diagnostic challenges associated with this rare condition.

Findings:

  • Blood flows from an arterial aneurysm into the pancreatic duct, exiting via the papilla of Vater, leading to anemia.
  • Diagnostic tools include duodenoscopy, ERCP, and angiography.
  • Patients with chronic pancreatitis and a history of alcohol abuse are at higher risk.

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Implications:

  • Early consideration of haemosuccus pancreaticus is crucial in relevant patient populations.
  • Treatment strategies involve either interventional embolization of the bleeding artery or surgical interventions like pancreas resection, artery ligation, or drainage.