2019 Volume 61 Issue 5 Pages 1131-1136
An 80-year-old man with a history of chronic pancreatitis was admitted to our hospital because of abdominal pain and melena. Computed tomography revealed a cystic lesion of approximately 10 cm in diameter at the head of the pancreas. Esophagogastroduodenoscopy showed flowing hemorrhage from the ampulla of Vater. We diagnosed hemosuccus pancreaticus based on the presence of a hemorrhagic pancreatic cyst. Cystic drainage with a naso-pancreatic duct drainage tube was performed, and hemostasis and cyst reduction were achieved. Stenosis of the main pancreatic duct was found on the papilla side from the cyst region, and endoscopic pancreatic stenting was performed for prevention of recurrence. The stent was removed 1 year and 7 months later there was no recurrence of the disease. Endoscopic therapy is considered to be useful in cases of hemosuccus pancreaticus in which there are pseudocysts in the pancreatic head.