Haemosuccus Pancreaticus Caused by Splenic Artery Aneurysm Derived from Isolated Spontaneous Coeliac Artery Dissection: Two Case Reports
Objective: Two cases of haemosuccus pancreaticus (HP), a rare cause of gastrointestinal bleeding caused by splenic artery aneurysm derived from isolated spontaneous coeliac artery dissection (ISCAD), are reported. Case report: The first case was a 62-year-old man with a history of hypertension who p...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | EJVES Vascular Forum |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666688X22000338 |
| _version_ | 1828344703295160320 |
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| author | Kazuyoshi Matsubara Mitsuru Matsukura Toshio Takayama Katsuyuki Hoshina Hideyuki Kanemoto |
| author_facet | Kazuyoshi Matsubara Mitsuru Matsukura Toshio Takayama Katsuyuki Hoshina Hideyuki Kanemoto |
| author_sort | Kazuyoshi Matsubara |
| collection | DOAJ |
| description | Objective: Two cases of haemosuccus pancreaticus (HP), a rare cause of gastrointestinal bleeding caused by splenic artery aneurysm derived from isolated spontaneous coeliac artery dissection (ISCAD), are reported. Case report: The first case was a 62-year-old man with a history of hypertension who presented with abdominal pain and melaena. Laboratory tests indicated slight anaemia and a high serum amylase level. Computed tomography (CT) showed coeliac artery dissection and a splenic aneurysm. Endoscopic retrograde cholangiopancreatography suggested a communication between the main pancreatic duct and the aneurysm. A laparoscopic distal pancreatectomy was performed. The second case was a 49-year-old man who had been followed up with coeliac artery dissection and a splenic aneurysm, and developed abdominal pain, haematemesis, and melaena. CT did not show degeneration of the coeliac and splenic lesions, and multiple endoscopies failed to detect the source of bleeding. However, the patient was clinically diagnosed with HP and had a successful transcatheter arterial embolisation. There was no recurrence in either case. Conclusion: HP should be considered in cases with adjacent splenic aneurysms, especially under fragile arterial conditions such as ISCAD. |
| first_indexed | 2024-04-14T00:01:17Z |
| format | Article |
| id | doaj.art-75d666a24a924b7b9eb29d6eeb60434f |
| institution | Directory Open Access Journal |
| issn | 2666-688X |
| language | English |
| last_indexed | 2024-04-14T00:01:17Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | EJVES Vascular Forum |
| spelling | doaj.art-75d666a24a924b7b9eb29d6eeb60434f2022-12-22T02:23:42ZengElsevierEJVES Vascular Forum2666-688X2022-01-01555658Haemosuccus Pancreaticus Caused by Splenic Artery Aneurysm Derived from Isolated Spontaneous Coeliac Artery Dissection: Two Case ReportsKazuyoshi Matsubara0Mitsuru Matsukura1Toshio Takayama2Katsuyuki Hoshina3Hideyuki Kanemoto4Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanDivision of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanDivision of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanDivision of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; Corresponding author. Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.Department of Gastroenterological Surgery, Shizuoka General Hospital, Shizuoka, JapanObjective: Two cases of haemosuccus pancreaticus (HP), a rare cause of gastrointestinal bleeding caused by splenic artery aneurysm derived from isolated spontaneous coeliac artery dissection (ISCAD), are reported. Case report: The first case was a 62-year-old man with a history of hypertension who presented with abdominal pain and melaena. Laboratory tests indicated slight anaemia and a high serum amylase level. Computed tomography (CT) showed coeliac artery dissection and a splenic aneurysm. Endoscopic retrograde cholangiopancreatography suggested a communication between the main pancreatic duct and the aneurysm. A laparoscopic distal pancreatectomy was performed. The second case was a 49-year-old man who had been followed up with coeliac artery dissection and a splenic aneurysm, and developed abdominal pain, haematemesis, and melaena. CT did not show degeneration of the coeliac and splenic lesions, and multiple endoscopies failed to detect the source of bleeding. However, the patient was clinically diagnosed with HP and had a successful transcatheter arterial embolisation. There was no recurrence in either case. Conclusion: HP should be considered in cases with adjacent splenic aneurysms, especially under fragile arterial conditions such as ISCAD.http://www.sciencedirect.com/science/article/pii/S2666688X22000338Abdominal painCase reportHaemosuccus pancreaticusIsolated spontaneous coeliac artery dissectionMelaenaSplenic aneurysm |
| spellingShingle | Kazuyoshi Matsubara Mitsuru Matsukura Toshio Takayama Katsuyuki Hoshina Hideyuki Kanemoto Haemosuccus Pancreaticus Caused by Splenic Artery Aneurysm Derived from Isolated Spontaneous Coeliac Artery Dissection: Two Case Reports EJVES Vascular Forum Abdominal pain Case report Haemosuccus pancreaticus Isolated spontaneous coeliac artery dissection Melaena Splenic aneurysm |
| title | Haemosuccus Pancreaticus Caused by Splenic Artery Aneurysm Derived from Isolated Spontaneous Coeliac Artery Dissection: Two Case Reports |
| title_full | Haemosuccus Pancreaticus Caused by Splenic Artery Aneurysm Derived from Isolated Spontaneous Coeliac Artery Dissection: Two Case Reports |
| title_fullStr | Haemosuccus Pancreaticus Caused by Splenic Artery Aneurysm Derived from Isolated Spontaneous Coeliac Artery Dissection: Two Case Reports |
| title_full_unstemmed | Haemosuccus Pancreaticus Caused by Splenic Artery Aneurysm Derived from Isolated Spontaneous Coeliac Artery Dissection: Two Case Reports |
| title_short | Haemosuccus Pancreaticus Caused by Splenic Artery Aneurysm Derived from Isolated Spontaneous Coeliac Artery Dissection: Two Case Reports |
| title_sort | haemosuccus pancreaticus caused by splenic artery aneurysm derived from isolated spontaneous coeliac artery dissection two case reports |
| topic | Abdominal pain Case report Haemosuccus pancreaticus Isolated spontaneous coeliac artery dissection Melaena Splenic aneurysm |
| url | http://www.sciencedirect.com/science/article/pii/S2666688X22000338 |
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