Hemosuccus pancreaticus, also known as pseudohematobilia or Wirsungorrhage is a rare cause of hemorrhage in the gastrointestinal tract. It is caused by a. Methods: We reviewed our experience with management of 17 patients admitted to surgery or gastroenterology units for hemosuccus pancreaticus between. Hemosuccus pancreaticus (HP) is a rare and potentially life threatening clinical entity and is described as bleeding from the ampulla of Vater.

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All operated patients had a clinical examination after 1 month and were kept on routine followup. National Center for Biotechnology InformationU. In most cases, surgical management of hemorrhagic pseudocysts includes excision of the pseudoaneurysm and pseudocyst.

Hemosuccus pancreaticus – Wikipedia

HP is a rare and potential life-threatening cause of gastrointestinal bleeding. Eur J Surg ; If resection is impossible, the ligation of the artery proximal and distal to the pseudoaneurysm and the abscission drainage of the pseudocyst that enters the gastrointestinal tract are an acceptable alternative; however, these methods are associated with a higher re-bleeding rate [ 42 ].

The typical presentation associates abdominal pain and digestive bleeding. Report of a case and hemosuccue of literature. Conservative surgery by ligature of the pancreatic ducts can also be employed but results are unsatisfactory as the causal lesion remains intact.

Significantly, histories of alcohol consumption could be observed in many patients. Gastroenterol Clin Biol ; Alternatively, angiography may be used to inject the celiac axis to determine the blood vessel that is bleeding. Pain is localized to the epigastrium or radiates towards the back.


Successful treatment of bleeding pseudoaneurysms of chronic pancreatitis. Crescendo-decrescendo abdominal pain followed by hemorrhage with a repeat cycle of pain followed by hemorrhage. Hemosuccus pancreaticusalso known as pseudohematobilia or Wirsungorrhage is a rare cause of hemorrhage in the gastrointestinal tract. The arteries involved in the gastrointestinal hemorrhage in the order of frequency include: Epigastric pain results from the elevation of pressure in pancrfaticus pancreatic ducts caused by blood clots [ 15 — 7 ].

Hemosuccus pancreaticus : a rare cause of gastrointestinal bleeding – EM|consulte

Bleeding from the duct of Santorini can be caused by pancreas divisuma possible congenital cause of pancreatitis. In one patient physical examination revealed a pulsating epigastric mass with a thrill at auscultation. Several conditions must be considered when deciding on whether or not surgery should be undertaken: They pancreayicus that implantation of a metal stent may be an effective treatment for HP with a low rate of recurrence and complications.

Explicit use of et al. Esophagogastroduodenoscopy shows with no bleeding source in the stomach. An unusual cause of upper gastrointestinal bleeding.

HP should be considered in all upper gastrointestinal bleeding in patients with a history of pancreatitis. Materials and Methods We retrospectively reviewed the records of all 51 patients who presented with HP over the last 15 years at our institution between January and December Coil embolization techniques provoke a thrombus in the aneurysm, but also obliterate the artery.


In patients with chronic pancreatitis, pancreaticoduodenectomy or splenopancreatectomy should be preferred. Following aggressive resuscitation, they were subjected to esophagogastroduodenoscopy and a Duplex scan. The source of hemorrhage pancreaticue usually not determined by standard endoscopic techniques, and the symptoms of the condition are usually grouped pancreaficus a cause of obscure overt gastrointestinal hemorrhage.

Hemosuccus pancreaticus: a rare cause of gastrointestinal bleeding

Hemosuccus pancreaticus HP hemosuccis a rare and potentially life threatening clinical entity and is described as bleeding from the ampulla of Hemosuccud via the pancreatic duct. Selective arteriography of the celiac trunk and the superior mesenteric artery provides the formal proof of hemosuccus pancreaticus by opacifying the main pancreatic duct [ 4 van Kemmel M.

Eradicating the source of bleeding is the only way to cure HP. Hemorrhage from the pancreatic duct, referred to as hemosuccus pancreaticus or pseudohemobilia, is a rare cause of gastrointestinal GI bleeding.

Two patients had a history of melena, associated with hematemesis in one. All Published work is licensed under a Creative Commons Attribution 4.

Owing to its rarity, anatomical location, and intermittent symptoms, the diagnosis of HP can be extremely difficult.