2021 Volume 54 Issue 9 Pages 614-621
An 86-year-old woman was admitted to our hospital for fatigue and tarry stools. Laboratory tests on admission indicated anemia, and enhanced abdominal CT revealed a heterogeneous tumor in the pancreatic body-tail, accompanied by a partial contrast effect. Upper gastrointestinal endoscopy showed blood emerging from the duodenal papilla. Hence, the patient was diagnosed with pancreatic body-tail cancer and hemosuccus pancreaticus (HP). Emergency angiography was performed, followed by coil embolization surgery. Anemia temporarily improved after surgery, but redeveloped following blood transfusion. The patient underwent distal pancreatectomy on hospital day 18. Upper gastrointestinal endoscopy performed during surgery confirmed improvement in HP. After surgery, there was immediate improvement of anemia, and the patient was discharged on hospital day 35. Histopathological examination revealed invasive ductal carcinoma of the pancreas (pT3N1M0 pStage IIB).
