[Treatment by arterial embolization of a case of Wirsung's duct hemorrhage]

A 49 years old patient was hospitalized following a eight days episode of gastro intestinal bleeding. Medical history revealed a chronic pancreatitis for more than three years. Physical examination upon admission was unremarkable. Acute oesophago-gastro-duodenoscopy showed red blood issue from the papilla. Echotomographic examination revealed no pancreatic pseudo cyst. A coeliac angiogram showed an extravasation of contrast material. Subselective pancreatico duodenal angiogram revealed the extravasation and the instantaneous opacification of the pancreatic duct with flow into the duodenum. Arterial embolization was chosen for treatment and stopped the bleeding. The patient has now been followed for three years and has had no recurrence of gastro intestinal bleeding.