Upper Gastrointestinal Bleed: Do not Forget a Look at Ampulla
Hemosuccus pancreaticus (HP) and hemobilia (HB) are uncommon causes of upper gastrointestinal bleed. In this report, 4 cases of HP and 1 case of HB with intermittent bleeding are described. The causes of HP are rupture of splenic artery pseudoaneurysm in 3 and gastroduodenal artery aneurysm in one....
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2018-07-01
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| Series: | Journal of Digestive Endoscopy |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/jde.JDE_25_18 |
| _version_ | 1818081811838795776 |
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| author | Avinash Bhat Balekuduru Abhinav Kumar Athish Shetty Satyaprakash Bonthala Subbaraj |
| author_facet | Avinash Bhat Balekuduru Abhinav Kumar Athish Shetty Satyaprakash Bonthala Subbaraj |
| author_sort | Avinash Bhat Balekuduru |
| collection | DOAJ |
| description | Hemosuccus pancreaticus (HP) and hemobilia (HB) are uncommon causes of upper gastrointestinal bleed. In this report, 4 cases of HP and 1 case of HB with intermittent bleeding are described. The causes of HP are rupture of splenic artery pseudoaneurysm in 3 and gastroduodenal artery aneurysm in one. The cause of HB is due to cystic artery bleed. HP can be secondary to chronic or acute pancreatitis with bleeding from pseudoaneurysm arising from peripancreatic arteries. Iatrogenic transhepatic techniques, trauma, operative injuries, malignancy, and inflammation in hepatobiliary system are the common causes of HB. All the cases are missed on first endoscopy and diagnosed on second‑look endoscopy. A strong clinical suspicion is required at first endoscopy for early diagnosis and management. This case report compares presentation of HP with HB, diagnosis, and their management. |
| first_indexed | 2024-12-10T19:12:09Z |
| format | Article |
| id | doaj.art-53249fcd6ec44ef5ba94f47c13f0716e |
| institution | Directory Open Access Journal |
| issn | 0976-5042 0976-5050 |
| language | English |
| last_indexed | 2024-12-10T19:12:09Z |
| publishDate | 2018-07-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Digestive Endoscopy |
| spelling | doaj.art-53249fcd6ec44ef5ba94f47c13f0716e2022-12-22T01:36:42ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Digestive Endoscopy0976-50420976-50502018-07-01090313413710.4103/jde.JDE_25_18Upper Gastrointestinal Bleed: Do not Forget a Look at AmpullaAvinash Bhat Balekuduru0Abhinav Kumar1Athish Shetty2Satyaprakash Bonthala Subbaraj3Department of Gastroenterology, Ramaiah Memorial Hospitals, Bengaluru, Karnataka, IndiaDepartment of Gastroenterology, Ramaiah Memorial Hospitals, Bengaluru, Karnataka, IndiaDepartment of Gastroenterology, Ramaiah Memorial Hospitals, Bengaluru, Karnataka, IndiaDepartment of Gastroenterology, Ramaiah Memorial Hospitals, Bengaluru, Karnataka, IndiaHemosuccus pancreaticus (HP) and hemobilia (HB) are uncommon causes of upper gastrointestinal bleed. In this report, 4 cases of HP and 1 case of HB with intermittent bleeding are described. The causes of HP are rupture of splenic artery pseudoaneurysm in 3 and gastroduodenal artery aneurysm in one. The cause of HB is due to cystic artery bleed. HP can be secondary to chronic or acute pancreatitis with bleeding from pseudoaneurysm arising from peripancreatic arteries. Iatrogenic transhepatic techniques, trauma, operative injuries, malignancy, and inflammation in hepatobiliary system are the common causes of HB. All the cases are missed on first endoscopy and diagnosed on second‑look endoscopy. A strong clinical suspicion is required at first endoscopy for early diagnosis and management. This case report compares presentation of HP with HB, diagnosis, and their management.http://www.thieme-connect.de/DOI/DOI?10.4103/jde.JDE_25_18 hemobilia hemosuccus pancreaticus pseudoaneurysm |
| spellingShingle | Avinash Bhat Balekuduru Abhinav Kumar Athish Shetty Satyaprakash Bonthala Subbaraj Upper Gastrointestinal Bleed: Do not Forget a Look at Ampulla Journal of Digestive Endoscopy hemobilia hemosuccus pancreaticus pseudoaneurysm |
| title | Upper Gastrointestinal Bleed: Do not Forget a Look at Ampulla |
| title_full | Upper Gastrointestinal Bleed: Do not Forget a Look at Ampulla |
| title_fullStr | Upper Gastrointestinal Bleed: Do not Forget a Look at Ampulla |
| title_full_unstemmed | Upper Gastrointestinal Bleed: Do not Forget a Look at Ampulla |
| title_short | Upper Gastrointestinal Bleed: Do not Forget a Look at Ampulla |
| title_sort | upper gastrointestinal bleed do not forget a look at ampulla |
| topic | hemobilia hemosuccus pancreaticus pseudoaneurysm |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/jde.JDE_25_18 |
| work_keys_str_mv | AT avinashbhatbalekuduru uppergastrointestinalbleeddonotforgetalookatampulla AT abhinavkumar uppergastrointestinalbleeddonotforgetalookatampulla AT athishshetty uppergastrointestinalbleeddonotforgetalookatampulla AT satyaprakashbonthalasubbaraj uppergastrointestinalbleeddonotforgetalookatampulla |