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Hemosuccus Pancreaticus: A Comprehensive Review of Presentation Patterns, Diagnostic Approaches, Therapeutic Strategies, and Clinical Outcomes
- Source :
- Journal of Investigative Medicine High Impact Case Reports, Journal of Investigative Medicine High Impact Case Reports, Vol 10 (2022)
- Publication Year :
- 2022
- Publisher :
- SAGE Publications, 2022.
-
Abstract
- Hemosuccus pancreaticus is a rare but potentially torrential and life-threatening cause of acute upper gastrointestinal bleeding. It is described as an intermittent hemorrhage from the major duodenal papilla via the main pancreatic duct. Peripancreatic pseudoaneurysm following chronic pancreatitis is a common underlying etiology. However, gastroduodenal artery pseudoaneurysm-related hemosuccus pancreaticus remains exceedingly rare in the etiological spectrum of upper gastrointestinal bleeding. We hereby delineate a rare case of hemosuccus pancreaticus associated with gastroduodenal artery pseudoaneurysm in a patient who initially presented with abdominal pain and hematochezia. He was successfully managed with coil embolization without recurrence or sequelae. Furthermore, we conducted a search of the MEDLINE (PubMed and Ovid) database for relevant studies on hemosuccus pancreaticus published between inception and September 15, 2021. The available clinical evidence on causes, presentation patterns, diagnosis, and management was analyzed and summarized. This article highlights the rarity, the intermittent nature of hemorrhage, and the lack of a standardized diagnostic approach for this elusive disease. Clinicians should remain cognizant of hemosuccus pancreaticus, especially in patients presenting with symptoms and signs of intermittent gastrointestinal bleeding and abdominal pain. Prompt diagnosis carries paramount importance in saving patients from repeat hospital admissions and disease-associated morbidity and mortality. Conventional angiography with coil embolization may constitute an effective treatment strategy.
- Subjects :
- Male
Medicine (General)
Ampulla of Vater
angiographic embolization
Epidemiology
AFMR Member
Pancreatic Ducts
Case Report
chronic pancreatitis
R5-920
hemosuccus pancreaticus
CT angiography
upper gastrointestinal bleeding
Pancreatitis, Chronic
Pathology
RB1-214
Humans
Gastrointestinal Hemorrhage
Safety, Risk, Reliability and Quality
Safety Research
Aneurysm, False
gastroduodenal artery pseudoaneurysm
Subjects
Details
- ISSN :
- 23247096
- Volume :
- 10
- Database :
- OpenAIRE
- Journal :
- Journal of Investigative Medicine High Impact Case Reports
- Accession number :
- edsair.doi.dedup.....519924ae24c8b1c9163396f94be44d84
- Full Text :
- https://doi.org/10.1177/23247096211070388