Hemosuccus pancreaticus

Report of a case associated with cyst forming undifferentiated carcinoma of the pancreas and review of the literature

Abstract

A rare case of gastrointestinal hemorrhage due to rupture of a pseudoaneurysm into the pancreatic duct in a patient with undifferentiated carcinoma of the pancreas is described. The diagnosis was made by recognizing bleeding from the papilla of Vater at duodenoscopy and was corroborated by the findings of selective angiography and CT scanning.
Review of the previously reported cases was also performed, and the pathogenesis, diagnosis, and treatment of hemosuccus pancreaticus are discussed in relation to the present case.
This unusual cause of gastrointestinal bleeding should be considered when the common diseases have been excluded.