Hemosuccus pancreaticus: Clearly identified by timely duodenoscopy, multiplanar volume reformation of CT image and celiac angiography

Shotaro Enomoto, Naohisa Yahagi, Mitsuhiro Fujishiro, Masashi Oka, Naomi Kakushima, Mikitaka Iguchi, Hiroyuki Isayama, Kimihiko Yanaoka, Kenji Arii, Hideyuki Tamai, Yasuhito Shimizu, Masao Ichinose, Masao Omata

Research output: Contribution to journalArticle

Abstract

Although hemosuccus pancreaticus (HP) rarely causes gastrointestinal bleeding, it should be considered in cases of unexplained gastrointestinal bleeding. We report a case of hemosuccus pancreaticus in a 68-year-old man. The patient has a long-standing history of anemia with a causal relation to drinking alcohol. He consulted 3 medical institutions, but the source of bleeding could not be identified. The patient was admitted to our hospital. After an episode of melena, upper endoscopy was performed and fresh blood was observed to be oozing from the papilla of Vater. Computed tomography image processing using multiplanar volume reformation and angiography revealed pseudoaneurysm of the gastroduodenal artery. The pseudoaneurysm was embolized by transcatheter embolization using steel microcoils.

Original languageEnglish
Pages (from-to)128-131
Number of pages4
JournalJapan Medical Association Journal
Volume49
Issue number3
Publication statusPublished - 2006 Mar
Externally publishedYes

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Keywords

  • Chronic pancreatitis
  • Hemosuccus pancreaticus
  • Pseudoaneurysm
  • TAE

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Enomoto, S., Yahagi, N., Fujishiro, M., Oka, M., Kakushima, N., Iguchi, M., Isayama, H., Yanaoka, K., Arii, K., Tamai, H., Shimizu, Y., Ichinose, M., & Omata, M. (2006). Hemosuccus pancreaticus: Clearly identified by timely duodenoscopy, multiplanar volume reformation of CT image and celiac angiography. Japan Medical Association Journal, 49(3), 128-131.