Abstract
A 63-year-old woman with a history of chronic pancreatitis was admitted to the hospital with anemia, hematemesis, and high serum amylase level. No bleeding point was shown on upper endoscopy. Abdominal computed tomography (CT) revealed a pseudoaneurysm of the splenic artery ; thus, we diagnosed hemosuccus pancreaticus, with a ruptured pseudoaneurysm into a pancreatic duct. Therefore, emergency diagnostic angiography and interventional radiology (IVR) treatment were performed. The pseudoaneurysm was successfully treated with coil embolization of the splenic artery. However, 2 months after the IVR, the patient was again admitted to the hospital with hematemesis. CT revealed a new splenic pseudoaneurysm on the distal side of the coil embolization. Thus, we performed a distal pancreatectomy and splenectomy. No gastrointestinal bleeding has occurred since then. Herein, we present a rare case of hemosuccus pancreaticus associated with pseudoaneurysm of the splenic artery.
