Haemosuccus pancreaticus: a clinical challenge.

Abstract:

BACKGROUND:Haemosuccus pancreaticus is a rare complication of pancreatitis. It is a diagnostic problem for even the most astute clinician and a challenge for the expert endoscopist. We report a 25-year-old male patient who had all the features usually seen in haemosuccus pancreaticus patients: recurrent obscure upper gastrointestinal bleeding, pancreatitis, pseudocyst formation, ductal disruption, fistula and pancreatic ascites. The patient was treated by subtotal pancreatectomy, splenectomy and drainage of the pseudocyst. Although pancreatic duct communication with the surrounding vasculature could not be ascertained, we strongly believe the patient had haemosuccus pancreaticus because, over a follow-up period of 3 years, the patient was not only ascites free, but did not experience any further upper gastrointestinal bleeding. We believe that in evaluating patients with recurrent obscure gastrointestinal bleeding, one should always remember that the pancreas is a part of the gastrointestinal tract and, like other organs, is prone to blood loss.

authors

Yattoo GN,Khuroo MS,Wani NA,Wani KA,Bhat FA

doi

10.1046/j.1440-1746.1999.01834.x

subject

Has Abstract

pub_date

1999-02-01 00:00:00

pages

172-5

issue

2

eissn

0815-9319

issn

1440-1746

journal_volume

14

pub_type

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