J Korean Surg Soc.  2001 Apr;60(4):460-464.

Hemosuccus Pancreaticus (Hemoductal Pancreatitis, Gastrointestinal Hemorrhage Due to Rupture of a Splenic Artery Aneurysm into the Pancreatic Duct)

• Lee KG
• Lee HW
• Kwon OJ
• Kwak JY
• Park HK
• Baik HK
• Lee KS

Abstract

Hemorrhage through the pancreatic duct into the duodenum is rare presentation of upper gastrointestinal bleeding. This condition is most commonly associated with inflammatory disorders of the pancrease with the bleeding originating from an area of hemorrhagic pancreatitis, abscess, or pseudocyst. A pseudoaneurysm of the splenic artery be can form as a result of erosion and autodigestion by the inflammatory process of this major blood vessel. More frequently, splenic artery aneurysms rupture into the greater or lesser peritoneal sacs, stomach, retroperitoneum, colon, or splenic vein. We experienced a patient with a prolonged history of upper gastrointestinal bleeding in which the diagnosis of hemosuccus pancreaticus secondary to a ruptured splenic artery aneurysm was diagnosed preoperatively. We report our experience with a review of the related literature.

Keyword

Hemosuccus pancreaticus; Splenic artery aneurysm; Pancreatic pseudocyst

MeSH Terms

Abscess
Aneurysm*
Aneurysm, False
Blood Vessels
Colon
Diagnosis
Duodenum
Gastrointestinal Hemorrhage*
Hemorrhage
Humans
Pancreas
Pancreatic Ducts
Pancreatic Pseudocyst
Pancreatitis*
Pancrelipase
Rupture*
Splenic Artery*
Splenic Vein
Stomach
Pancrelipase