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Hemosuccus Pancreaticus

Sumathi Bavanandam1, Nirmala Dheivamani

  • 1Department of Pediatric Gastroenterology, Institute of Child Health and Hospital for Children, Chennai, India. Correspondence to: Dr Sumathi Bavanandam, Senior Assistant Professor, Department of Pediatric Gastroenterology, Institute of Child Health and Hospital for Children, Chennai 600 008, India. drbsumathi@rediffmail.com.

Indian Pediatrics
|March 13, 2017
PubMed

Insights

Hemosuccus pancreaticus, a rare cause of gastrointestinal bleeding in children, can occur with chronic pancreatitis. Angiography and coil embolization effectively treated bleeding in two pediatric cases.

Area of Science:

  • Pediatric Gastroenterology
  • Vascular Interventions

Background:

  • Gastrointestinal bleeding in children presents with varied causes.
  • Chronic pancreatitis is an uncommon etiology for pediatric GI hemorrhage.

Observation:

  • Two pediatric patients (3 and 7 years old) experienced recurrent gastrointestinal bleeding.
  • Imaging revealed chronic pancreatitis but no vascular abnormalities.
  • Conventional angiography identified bleeding from the gastroduodenal artery in both children.

Findings:

  • Successful treatment of recurrent gastrointestinal bleeding was achieved through coil embolization of the gastroduodenal artery.
  • No bleeding recurrence was observed post-embolization.

Implications:

  • Hemosuccus pancreaticus should be considered in pediatric patients with chronic pancreatitis and recurrent GI bleeding.
  • Conventional angiography and subsequent coil embolization offer an effective therapeutic strategy for this condition.
Abstract

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