Asian Journal of Case Reports in Surgery

Hemosuccus Pancreaticus: A Rare Case of Upper Gastrointestinal (GI) Bleeding

Waghmare Amol Ankush *

General Surgery Department, Bharati Vidyapeeth (Deemed to be University) Medical College and AMP Hospital, Sangli, Maharashtra, India.

Mote Dajiram G.

General Surgery Department, Bharati Vidyapeeth (Deemed to be University) Medical College and AMP Hospital, Sangli, Maharashtra, India.

Mohan Abhinav

Radiology Department, Bharati Vidyapeeth (Deemed to be University) Medical College and AMP Hospital, Sangli, Maharashtra, India.

*Author to whom correspondence should be addressed.

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Abstract

Hemosuccus pancreaticus is a life-threatening clinical entity. It is defined as bleeding from ampulla of Vatter in which blood enters into duodenum from pancreatic duct. Hemosuccus pancreaticus may be due to the rupture of pancreatic pseudoaneurysm resulting in bleeding. Here is a rare case of active bleeding through main pancreatic duct into duodenum leading to GI bleeding. The incidence is 1:1500 case of GI bleeding. In this case report, we will discuss a case of 52-year male with complaints of pain in abdomen with recurrent episodes of melena in the past 2 months. Patient underwent CECT (Abdomen + pelvic) which suggestive of pseudoaneurysm of gastro duodenal artery followed by pseudoaneurysm embolization with coil microcatheter.

Keywords: Hemosuccus pancreaticus, pseudoaneurysm, GI bleeding

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