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Related Experiment Videos

Hemoductal pancreatitis.

R C Camishion1, M J Pello, R K Spence

  • 1Department of Surgery, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Cooper Hospital/University Medical Center, Camden.

Surgery
|January 1, 1992
PubMed
Summary
This summary is machine-generated.

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Rupture of the splenic artery into the pancreatic duct causes rare gastrointestinal bleeding. Suspect this obscure cause when common sources are excluded, aiding diagnosis with duodenoscopy and arteriography.

Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Pancreatic Surgery

Background:

  • Gastrointestinal tract hemorrhage is a common clinical presentation.
  • Obscure gastrointestinal bleeding often presents a diagnostic challenge.
  • Rupture of the splenic artery into the pancreatic duct is an uncommon etiology.

Observation:

  • Three patients with chronic pancreatitis presented with obscure upper gastrointestinal bleeding.
  • These patients developed pseudocyst formation and splenic artery pseudoaneurysms.
  • The pseudoaneurysms had ruptured into the pancreatic duct (duct of Wirsung).

Findings:

  • Duodenoscopy during active bleeding may show blood from the papilla of Vater.
  • Coeliac arteriography reveals pathognomonic findings for diagnosis.

Related Experiment Videos

  • Splenic artery pseudoaneurysm rupture into the pancreatic duct is a cause of obscure bleeding.

    • Implications:

    • This condition requires high clinical suspicion when common bleeding causes are excluded.
    • Diagnostic modalities include duodenoscopy and coeliac arteriography.
    • Surgical treatment involves distal pancreatectomy and splenectomy to manage the pseudoaneurysm and pseudocyst.