Haemosuccus pancreaticus due to true splenic artery aneurysm: a rare cause of massive upper gastrointestinal bleeding

“Haemosuccus pancreaticus” is an unusual cause of severe upper gastrointestinal bleeding and results from rupture of splenic artery aneurysm into the pancreatic duct. More commonly, it is a pseudoaneurysm of the splenic artery which develops as sequelae of pancreatitis. However, true aneurysm of the...

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Main Authors: MK Roy, SK Dubey, S Sadhu, S Sarkar, R Verma
Format: Article
Language:English
Published: Oxford University Press 2010-07-01
Series:Journal of Surgical Case Reports
Subjects:
Online Access:http://jscr.co.uk/2010/07/hepatobiliary-surgery/haemosuccus-pancreaticus-due-to-true-splenic-artery-aneurysm-a-rare-cause-of-massive-upper-gastrointestinal-bleeding/
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author MK Roy
SK Dubey
S Sadhu
S Sarkar
R Verma
author_facet MK Roy
SK Dubey
S Sadhu
S Sarkar
R Verma
author_sort MK Roy
collection DOAJ
description “Haemosuccus pancreaticus” is an unusual cause of severe upper gastrointestinal bleeding and results from rupture of splenic artery aneurysm into the pancreatic duct. More commonly, it is a pseudoaneurysm of the splenic artery which develops as sequelae of pancreatitis. However, true aneurysm of the splenic artery without pancreatitis has rarely been incriminated as the etiologic factor of this condition. Owing to the paucity of cases and limited knowledge about the disease, diagnosis as well as treatment become challenging. Here we describe a 60-year-old male presenting with severe recurrent upper gastrointestinal bleeding and abdominal pain, which, after considerable delay, was diagnosed to be due to splenic artery aneurysm. Following an unsuccessful endovascular embolisation, the patient was cured by distal pancreatectomy and ligation of aneurysm.
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spelling doaj.art-36580e1f554143f7a33d6fc122e4107e2022-12-21T18:45:41ZengOxford University PressJournal of Surgical Case Reports2042-88122010-07-0154Haemosuccus pancreaticus due to true splenic artery aneurysm: a rare cause of massive upper gastrointestinal bleedingMK RoySK DubeyS SadhuS SarkarR Verma“Haemosuccus pancreaticus” is an unusual cause of severe upper gastrointestinal bleeding and results from rupture of splenic artery aneurysm into the pancreatic duct. More commonly, it is a pseudoaneurysm of the splenic artery which develops as sequelae of pancreatitis. However, true aneurysm of the splenic artery without pancreatitis has rarely been incriminated as the etiologic factor of this condition. Owing to the paucity of cases and limited knowledge about the disease, diagnosis as well as treatment become challenging. Here we describe a 60-year-old male presenting with severe recurrent upper gastrointestinal bleeding and abdominal pain, which, after considerable delay, was diagnosed to be due to splenic artery aneurysm. Following an unsuccessful endovascular embolisation, the patient was cured by distal pancreatectomy and ligation of aneurysm.http://jscr.co.uk/2010/07/hepatobiliary-surgery/haemosuccus-pancreaticus-due-to-true-splenic-artery-aneurysm-a-rare-cause-of-massive-upper-gastrointestinal-bleeding/pseudoaneurysmsplenicarteryhepatobiliarybleedinghaemosuccus pancreaticus
spellingShingle MK Roy
SK Dubey
S Sadhu
S Sarkar
R Verma
Haemosuccus pancreaticus due to true splenic artery aneurysm: a rare cause of massive upper gastrointestinal bleeding
Journal of Surgical Case Reports
pseudoaneurysm
splenic
artery
hepatobiliary
bleeding
haemosuccus pancreaticus
title Haemosuccus pancreaticus due to true splenic artery aneurysm: a rare cause of massive upper gastrointestinal bleeding
title_full Haemosuccus pancreaticus due to true splenic artery aneurysm: a rare cause of massive upper gastrointestinal bleeding
title_fullStr Haemosuccus pancreaticus due to true splenic artery aneurysm: a rare cause of massive upper gastrointestinal bleeding
title_full_unstemmed Haemosuccus pancreaticus due to true splenic artery aneurysm: a rare cause of massive upper gastrointestinal bleeding
title_short Haemosuccus pancreaticus due to true splenic artery aneurysm: a rare cause of massive upper gastrointestinal bleeding
title_sort haemosuccus pancreaticus due to true splenic artery aneurysm a rare cause of massive upper gastrointestinal bleeding
topic pseudoaneurysm
splenic
artery
hepatobiliary
bleeding
haemosuccus pancreaticus
url http://jscr.co.uk/2010/07/hepatobiliary-surgery/haemosuccus-pancreaticus-due-to-true-splenic-artery-aneurysm-a-rare-cause-of-massive-upper-gastrointestinal-bleeding/
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AT ssadhu haemosuccuspancreaticusduetotruesplenicarteryaneurysmararecauseofmassiveuppergastrointestinalbleeding
AT ssarkar haemosuccuspancreaticusduetotruesplenicarteryaneurysmararecauseofmassiveuppergastrointestinalbleeding
AT rverma haemosuccuspancreaticusduetotruesplenicarteryaneurysmararecauseofmassiveuppergastrointestinalbleeding