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Hemosuccus pancreaticus: CT manifestations
Journal of Computer Assisted Tomography
|May 1, 1986
Summary
A ruptured splenic artery aneurysm caused severe gastrointestinal bleeding by connecting to the pancreatic duct. This rare condition, known as hemosuccus pancreaticus, was diagnosed using CT and arteriography.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Radiology
Background:
- Splenic artery aneurysms are rare vascular malformations.
- Rupture into the pancreatic duct (hemosuccus pancreaticus) is an exceptionally uncommon presentation.
- Gastrointestinal bleeding is a potential, life-threatening complication.
Observation:
- A patient presented with severe gastrointestinal hemorrhage.
- Contrast-enhanced CT identified a pancreatic tail mass with central enhancement.
- Arteriography confirmed a splenic artery aneurysm.
Findings:
- The splenic artery aneurysm ruptured into the pancreatic duct.
- Pathological review confirmed the communication between the aneurysm and the pancreatic duct.
- This communication led to hemosuccus pancreaticus and subsequent bleeding.
Implications:
- Early diagnosis and intervention are crucial for managing hemosuccus pancreaticus.
- Multimodal imaging (CT, arteriography) is vital for accurate diagnosis.
- Surgical or endovascular repair of the aneurysm is necessary to prevent rebleeding.