Hemosuccus Pancreaticus: Challenging Diagnosis and Treatment

Hemosuccus pancreaticus (HP) is defined as bleeding from the ampulla of Vater through the pancreatic duct. It is a rare complication associated with acute or chronic pancreatitis. The source of bleeding can be from the pancreas itself or surrounding vessels, with the splenic artery most commonly inv...

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Main Authors: Nader Mekheal, Mina Alkomos, Sherif Roman, Erinie Mekheal, Alisa Farokhian, Christopher Millet, Hardikkumar Shah, Gabriel Melki, Walid Baddoura
Format: Article
Language:English
Published: SMC MEDIA SRL 2022-05-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/3337
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author Nader Mekheal
Mina Alkomos
Sherif Roman
Erinie Mekheal
Alisa Farokhian
Christopher Millet
Hardikkumar Shah
Gabriel Melki
Walid Baddoura
author_facet Nader Mekheal
Mina Alkomos
Sherif Roman
Erinie Mekheal
Alisa Farokhian
Christopher Millet
Hardikkumar Shah
Gabriel Melki
Walid Baddoura
author_sort Nader Mekheal
collection DOAJ
description Hemosuccus pancreaticus (HP) is defined as bleeding from the ampulla of Vater through the pancreatic duct. It is a rare complication associated with acute or chronic pancreatitis. The source of bleeding can be from the pancreas itself or surrounding vessels, with the splenic artery most commonly involved. Diagnosing HP is challenging and computed tomography angiography remains the gold standard for diagnosis. We present the case of a 62-year-old male with recurrent pancreatitis complicated with HP. Imaging and endoscopy were consistent with bleeding from the section portion of the duodenum, which resolved without intervention.
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spelling doaj.art-e64d47e85515428cba6388da852a2f022022-12-22T03:35:35ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942022-05-0110.12890/2022_0033372872Hemosuccus Pancreaticus: Challenging Diagnosis and TreatmentNader Mekheal0Mina Alkomos1Sherif Roman2Erinie Mekheal3Alisa Farokhian4Christopher Millet5Hardikkumar Shah6Gabriel Melki7Walid Baddoura8St Joseph’s University Medical Center, Paterson, NJ, USA St Joseph’s University Medical Center, Paterson, NJ, USA St Joseph’s University Medical Center, Paterson, NJ, USA St Joseph’s University Medical Center, Paterson, NJ, USA St Joseph’s University Medical Center, Paterson, NJ, USA Saint Joseph's University Medical Center, Peterson, NJ, USASaint Joseph's University Medical CenterSt Joseph’s University Medical Center, Paterson, NJ, USA St Joseph’s University Medical Center, Paterson, NJ, USA Hemosuccus pancreaticus (HP) is defined as bleeding from the ampulla of Vater through the pancreatic duct. It is a rare complication associated with acute or chronic pancreatitis. The source of bleeding can be from the pancreas itself or surrounding vessels, with the splenic artery most commonly involved. Diagnosing HP is challenging and computed tomography angiography remains the gold standard for diagnosis. We present the case of a 62-year-old male with recurrent pancreatitis complicated with HP. Imaging and endoscopy were consistent with bleeding from the section portion of the duodenum, which resolved without intervention.https://www.ejcrim.com/index.php/EJCRIM/article/view/3337pancreatitishemosuccus pancreaticusupper gastrointestinal bleedingarterial embolization
spellingShingle Nader Mekheal
Mina Alkomos
Sherif Roman
Erinie Mekheal
Alisa Farokhian
Christopher Millet
Hardikkumar Shah
Gabriel Melki
Walid Baddoura
Hemosuccus Pancreaticus: Challenging Diagnosis and Treatment
European Journal of Case Reports in Internal Medicine
pancreatitis
hemosuccus pancreaticus
upper gastrointestinal bleeding
arterial embolization
title Hemosuccus Pancreaticus: Challenging Diagnosis and Treatment
title_full Hemosuccus Pancreaticus: Challenging Diagnosis and Treatment
title_fullStr Hemosuccus Pancreaticus: Challenging Diagnosis and Treatment
title_full_unstemmed Hemosuccus Pancreaticus: Challenging Diagnosis and Treatment
title_short Hemosuccus Pancreaticus: Challenging Diagnosis and Treatment
title_sort hemosuccus pancreaticus challenging diagnosis and treatment
topic pancreatitis
hemosuccus pancreaticus
upper gastrointestinal bleeding
arterial embolization
url https://www.ejcrim.com/index.php/EJCRIM/article/view/3337
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AT eriniemekheal hemosuccuspancreaticuschallengingdiagnosisandtreatment
AT alisafarokhian hemosuccuspancreaticuschallengingdiagnosisandtreatment
AT christophermillet hemosuccuspancreaticuschallengingdiagnosisandtreatment
AT hardikkumarshah hemosuccuspancreaticuschallengingdiagnosisandtreatment
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