Two Cases of Hemosuccus Pancreaticus due to Chronic Pancreatitis

Abstract

The first case was a 46-year-old woman. She had a history of excessive alcohol intake and a pancreatic tumor had been diagnosed. She was admitted to hospital with a bloody bowel discharge and abdominal pain. A mass, 27×32 mm in diameter, was seen in the pancreatic tail on abdominal CT ; it had a high interior absorption range. Based on 3D-CT angiography and endoscopic retrograde pancreatography, hemosuccus pancreaticus was diagnosed. Thus, the patient had a distal pancreatectomy and a splenectomy.
The second case was a 73-year-old man. The patient had abdominal pain and black stools, a pancreastic tumor was suspected, and the patient was sent to our hospital for further testing. A mass, 7×8 mm in diameter, was found in the pancreatic tail, and sinistral portal hypertension was present (splenomegaly and gastric varices as well as splenic vein confinement on abdominal CT). Therefore, hemosuccus pancreaticus was diagnosed, and, the patient had a a distal pancreatectomy and a splenectomy.
Both patients had them perforations in pancreatic ducts due to burst splenic aneurysms related to chronic pancreatitis.