Hemosuccus Pancreaticus: A Comprehensive Review of Presentation Patterns, Diagnostic Approaches, Therapeutic Strategies, and Clinical Outcomes
Hemosuccus pancreaticus is a rare but potentially torrential and life-threatening cause of acute upper gastrointestinal bleeding. It is described as an intermittent hemorrhage from the major duodenal papilla via the main pancreatic duct. Peripancreatic pseudoaneurysm following chronic pancreatitis i...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2022-01-01
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| Series: | Journal of Investigative Medicine High Impact Case Reports |
| Online Access: | https://doi.org/10.1177/23247096211070388 |
| _version_ | 1798016414320164864 |
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| author | Zahid Ijaz Tarar MD Hasan Azeem Khan MD Faisal Inayat MBBS Muhammad Hassan Naeem Goraya MBBS Mohsin Raza MBBS Faisal Ibrahim MBBS Zahra Akhtar MBBS Adnan Malik MD Ryan M. Davis MD |
| author_facet | Zahid Ijaz Tarar MD Hasan Azeem Khan MD Faisal Inayat MBBS Muhammad Hassan Naeem Goraya MBBS Mohsin Raza MBBS Faisal Ibrahim MBBS Zahra Akhtar MBBS Adnan Malik MD Ryan M. Davis MD |
| author_sort | Zahid Ijaz Tarar MD |
| collection | DOAJ |
| description | Hemosuccus pancreaticus is a rare but potentially torrential and life-threatening cause of acute upper gastrointestinal bleeding. It is described as an intermittent hemorrhage from the major duodenal papilla via the main pancreatic duct. Peripancreatic pseudoaneurysm following chronic pancreatitis is a common underlying etiology. However, gastroduodenal artery pseudoaneurysm-related hemosuccus pancreaticus remains exceedingly rare in the etiological spectrum of upper gastrointestinal bleeding. We hereby delineate a rare case of hemosuccus pancreaticus associated with gastroduodenal artery pseudoaneurysm in a patient who initially presented with abdominal pain and hematochezia. He was successfully managed with coil embolization without recurrence or sequelae. Furthermore, we conducted a search of the MEDLINE (PubMed and Ovid) database for relevant studies on hemosuccus pancreaticus published between inception and September 15, 2021. The available clinical evidence on causes, presentation patterns, diagnosis, and management was analyzed and summarized. This article highlights the rarity, the intermittent nature of hemorrhage, and the lack of a standardized diagnostic approach for this elusive disease. Clinicians should remain cognizant of hemosuccus pancreaticus, especially in patients presenting with symptoms and signs of intermittent gastrointestinal bleeding and abdominal pain. Prompt diagnosis carries paramount importance in saving patients from repeat hospital admissions and disease-associated morbidity and mortality. Conventional angiography with coil embolization may constitute an effective treatment strategy. |
| first_indexed | 2024-04-11T15:49:12Z |
| format | Article |
| id | doaj.art-82d1477182614069bec04c5c8d3f627a |
| institution | Directory Open Access Journal |
| issn | 2324-7096 |
| language | English |
| last_indexed | 2024-04-11T15:49:12Z |
| publishDate | 2022-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Investigative Medicine High Impact Case Reports |
| spelling | doaj.art-82d1477182614069bec04c5c8d3f627a2022-12-22T04:15:23ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962022-01-011010.1177/23247096211070388Hemosuccus Pancreaticus: A Comprehensive Review of Presentation Patterns, Diagnostic Approaches, Therapeutic Strategies, and Clinical OutcomesZahid Ijaz Tarar MD0Hasan Azeem Khan MD1Faisal Inayat MBBS2Muhammad Hassan Naeem Goraya MBBS3Mohsin Raza MBBS4Faisal Ibrahim MBBS5Zahra Akhtar MBBS6Adnan Malik MD7Ryan M. Davis MD8University of Missouri School of Medicine, Columbia, MO, USAAllama Iqbal Medical College, Lahore, PakistanAllama Iqbal Medical College, Lahore, PakistanAllama Iqbal Medical College, Lahore, PakistanAllama Iqbal Medical College, Lahore, PakistanUniversity of Missouri Health Care, Columbia, USAAllama Iqbal Medical College, Lahore, PakistanLoyola University Medical Center, Maywood, IL, USAUniversity of Missouri School of Medicine, Columbia, MO, USAHemosuccus pancreaticus is a rare but potentially torrential and life-threatening cause of acute upper gastrointestinal bleeding. It is described as an intermittent hemorrhage from the major duodenal papilla via the main pancreatic duct. Peripancreatic pseudoaneurysm following chronic pancreatitis is a common underlying etiology. However, gastroduodenal artery pseudoaneurysm-related hemosuccus pancreaticus remains exceedingly rare in the etiological spectrum of upper gastrointestinal bleeding. We hereby delineate a rare case of hemosuccus pancreaticus associated with gastroduodenal artery pseudoaneurysm in a patient who initially presented with abdominal pain and hematochezia. He was successfully managed with coil embolization without recurrence or sequelae. Furthermore, we conducted a search of the MEDLINE (PubMed and Ovid) database for relevant studies on hemosuccus pancreaticus published between inception and September 15, 2021. The available clinical evidence on causes, presentation patterns, diagnosis, and management was analyzed and summarized. This article highlights the rarity, the intermittent nature of hemorrhage, and the lack of a standardized diagnostic approach for this elusive disease. Clinicians should remain cognizant of hemosuccus pancreaticus, especially in patients presenting with symptoms and signs of intermittent gastrointestinal bleeding and abdominal pain. Prompt diagnosis carries paramount importance in saving patients from repeat hospital admissions and disease-associated morbidity and mortality. Conventional angiography with coil embolization may constitute an effective treatment strategy.https://doi.org/10.1177/23247096211070388 |
| spellingShingle | Zahid Ijaz Tarar MD Hasan Azeem Khan MD Faisal Inayat MBBS Muhammad Hassan Naeem Goraya MBBS Mohsin Raza MBBS Faisal Ibrahim MBBS Zahra Akhtar MBBS Adnan Malik MD Ryan M. Davis MD Hemosuccus Pancreaticus: A Comprehensive Review of Presentation Patterns, Diagnostic Approaches, Therapeutic Strategies, and Clinical Outcomes Journal of Investigative Medicine High Impact Case Reports |
| title | Hemosuccus Pancreaticus: A Comprehensive Review of Presentation Patterns, Diagnostic Approaches, Therapeutic Strategies, and Clinical Outcomes |
| title_full | Hemosuccus Pancreaticus: A Comprehensive Review of Presentation Patterns, Diagnostic Approaches, Therapeutic Strategies, and Clinical Outcomes |
| title_fullStr | Hemosuccus Pancreaticus: A Comprehensive Review of Presentation Patterns, Diagnostic Approaches, Therapeutic Strategies, and Clinical Outcomes |
| title_full_unstemmed | Hemosuccus Pancreaticus: A Comprehensive Review of Presentation Patterns, Diagnostic Approaches, Therapeutic Strategies, and Clinical Outcomes |
| title_short | Hemosuccus Pancreaticus: A Comprehensive Review of Presentation Patterns, Diagnostic Approaches, Therapeutic Strategies, and Clinical Outcomes |
| title_sort | hemosuccus pancreaticus a comprehensive review of presentation patterns diagnostic approaches therapeutic strategies and clinical outcomes |
| url | https://doi.org/10.1177/23247096211070388 |
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