Hemosuccus pancreaticus, also known as pseudohematobilia or Wirsungorrhage is a rare cause of hemorrhage in the gastrointestinal tract. It is caused by a. Methods: We reviewed our experience with management of 17 patients admitted to surgery or gastroenterology units for hemosuccus pancreaticus between. Hemosuccus pancreaticus (HP) is a rare and potentially life threatening clinical entity and is described as bleeding from the ampulla of Vater.

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Pancreatticus was initially treated at a district hospital and was referred to us owing to persistent high fever not responding to antibiotics.

Hemosuccus pancreaticus is described as bleeding from the ampulla of Vater via the pancreatic duct [ 12 ]. It can be an important diagnostic and therapeutic tool. One patient had histologically proven alcoholic cirrhosis Child-Pugh A5.

Improved outcomes in postoperative and pancreatitis-related visceral pseudoaneurysms. An unusual cause of upper gastrointestinal bleeding”.

Its magnitude varies from occult blood loss to massive life-threatening hemorrhage. There are several causes: During an episode of acute pancreatitis, hemosuccus pancreaticus can occur after necrosis of an arterial wall duodenopancratic arcade, gastroduodenal artery, splenic artery.

Determining the cause of obscure bleeding in the gastrointestinal tract is the key in treating the disease. National Panceeaticus for Biotechnology InformationU.

Hemosuccus pancreaticus: A mini-review

The following were studied: The disparity can be as large as five times [ 13 ], which still needs to be proven. Esophagogastroduodenoscopy showing evidence of blood actively spurting from ampulla. Bleeding from the aorta into the duodenum most common via fistula between aorta and duodenum. Visit for more related articles at JOP. Even though endoscopy may be normal, it helps to rule out other causes of upper digestive bleeding erosive gastritis, peptic ulcers, and oesophageal and gastric fundus varices, etc.


Accepted Feb Therapeutic abstention proved successful in one patient. The splenic, common hepatic, gastroduodenal, and pancreaticoduodenal arteries are the areas mostly involved [ 18 ]. Surgical treatment For patients with hemodynamic instability, emergency operations are inevitable.

Bleeding from the duct of Santorini can be caused by pancreas divisuma possible congenital cause of pancreatitis. Intrahepatic, extrahepatic like gall bladder or bile duct.

This article has been cited by other articles in PMC. As per the Law relating to information storage pancreatifus personal integrity, you have the right to oppose art 26 of that lawaccess art 34 of that law and rectify art 36 of that law your personal data. Endovascular treatment of a hepatic artery pseudoaneurysm associated with gastrointestinal tract bleeding. Bleeding from the pancreatic pancrexticus into duodenum via the ampulla of Vater.

Introduction Hemosuccus pancreaticus is described as bleeding from the ampulla of Vater via the pancreatic duct [ 12 ]. Successful treatment of bleeding pseudoaneurysms of chronic pancreatitis.

A complication of chronic pancreatitis.

The purpose of this study was to analyze the diagnostic and therapeutic features of hemosuccus pancreaticus. Various heemosuccus modalities can aid in the diagnosis of HP.

A pancreatic pseudocyst possesses a significant relationship with the pancreatic duct, and bleeding in the gastrointestinal tract may also occur entirely through this route [ 31 ]. Further options depend on site of bleeding; partial hepatectomy, cholecystectomy.

The first step is assessment of the severity of hemosuccks blood loss, resuscitation and appropriate monitoring. Wirsungorrhagia or Hemoductal pancreatitis; report of a case and review of the literature.


Arterial ligation is more effective but does not avoid the risk of recurrence. Hemosuccus pancreaticus bleeding from the pancreatic duct into the gastrointestinal tract via the ampulla of Vater is a rare, potentially life-threatening and obscure cause of upper gastrointestinal bleeding. This kind of complication is more common in chronic pancreatitis. A year-old female with HIV and alcoholism presented with 3 weeks of intermittent abdominal pain and melena.

Massive haematemesis presenting symptoms of cystadenocarcinoma of the pancreas.

Hemosuccus pancreaticus: A mini-review

Aneurysm is also often associated with HP; however, a causal relationship between them has not been established yet [ [4][5][6][7] ]. A Histopathologica examination showing evidence of chronic calcifying pancreatitis and B splenic congestion. Hemosuccus pancreaticus associated with severe acute pancreatitis and pseudoaneurysms: The patient had an uneventful postoperative course and was well at a 7-month follow-up.

Drainage of the pancreatic pseudocysts associated with arterial ligation is particularly effective and is associated with fewer complications of infection and necrosis compared with aggressive surgery [ 2125 — 27 ]. CopyrightMandaliya et al. Hemosuccus pancreaticus should be considered in patients with intermittent crescendo-decrescendo abdominal pain, gastrointestinal bleeding and a high serum lipase.

However, the pancreatic duct orifice is located on the side of the duodenum, meaning that it can be missed on forward-viewing endoscopy. Other clinical signs are more exceptional: Other pancreatic causes of hemosuccus pancreaticus are rare: Eur J Surg ; Ann Surg ;