Diagnostic and Therapeutic Challenges in Hemosuccus Pancreaticus: A Case Report

Area of Science:

• Gastroenterology
• Vascular Surgery
• Interventional Radiology

Background:

• Hemosuccus pancreaticus, or pancreatic pseudoaneurysm, is a rare cause of upper gastrointestinal bleeding.
• It originates from the ampulla of Vater and extends into the duodenum via the pancreatic duct.
• Historically, mortality rates without intervention approach 90%.

Observation:

• A 64-year-old woman presented with recurrent upper gastrointestinal bleeding over one year.
• Imaging studies identified a pancreatic hematoma and pseudoaneurysm.
• The patient experienced intermittent bleeding episodes.

Findings:

• The pancreatic pseudoaneurysm was successfully treated using angiographic embolization.
• This minimally invasive technique proved effective in managing the bleeding.
• The patient's condition stabilized post-intervention.

Implications:

• This case underscores the importance of a multidisciplinary approach in managing complex gastrointestinal conditions.
• Advanced imaging and interventional techniques like embolization are crucial for favorable patient outcomes.
• Early diagnosis and intervention can significantly reduce the high mortality associated with hemosuccus pancreaticus.