Hemosuccus pancreaticus from superior mesenteric artery pseudoaneurysm within perceived pancreatic mass
| Autor: | Michelle M. Shnayder, Prasoon Mohan |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Gastrointestinal bleeding medicine.medical_treatment Diagnosis Differential 03 medical and health sciences Pseudoaneurysm 0302 clinical medicine Melena Mesenteric Artery Superior Hemosuccus pancreaticus Pancreatitis Chronic medicine Pancreatic mass Humans Embolization Pancreatic duct business.industry Gastroenterology Pancreatic Ducts Pancreatic Diseases General Medicine Middle Aged medicine.disease Embolization Therapeutic Pancreatic Neoplasms medicine.anatomical_structure 030220 oncology & carcinogenesis Pancreatitis 030211 gastroenterology & hepatology Radiology medicine.symptom business Gastrointestinal Hemorrhage Aneurysm False |
| Zdroj: | Clinical journal of gastroenterology. 12(1) |
| ISSN: | 1865-7265 |
| Popis: | Bleeding from the pancreatic duct is a rare source of gastrointestinal hemorrhage and is referred to as hemosuccus pancreaticus. Often a result of pseudoaneurysm formation from chronic pancreatitis, hemosuccus pancreaticus is a difficult diagnosis due to its peculiar clinical presentation. This is a case of a 51-year-old male with a history of chronic pancreatitis, who initially presented with a pancreatic mass found on CT scan. The mass was found to be inconclusive for malignancy on endoscopic ultrasound-guided fine needle aspiration. The patient subsequently was lost to follow-up and returned with melena and evidence of a superior mesenteric pseudoaneurysm in the previous mass on CT angiography. The pseudoaneurysm was successfully treated with endovascular embolization. Diagnosis of hemosuccus pancreaticus can be challenging due to the intermittent nature of hemorrhage and the variable clinical presentation—which initially appeared as a pancreatic neoplasm in our patient. Repeat imaging and angiography are invaluable for both the diagnosis and treatment of gastrointestinal bleeding from an unknown source in the setting of chronic pancreatitis. |
| Databáze: | OpenAIRE |
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