Hemosuccus pancreaticus: A rare cause of non-variceal upper gastrointestinal bleeding

Abstract Text A 40-year-old man with liver cirrhosis and chronic pancreatitis was admitted for necrotizing pancreatitis, presenting with melena and abdominal pain. Initial endoscopy revealed severe portal gastropathy without varices. Ten days later presented again melena and hemodynamic instability. Endoscopy revealed intermittent bleeding in the second portion of the duodenum without visible lesions. Duodenoscopy confirmed the bleeding origin at the major and minor papilla, suggestive of hemosuccus pancreaticus (HP). CT scan/angiography showed bleeding from a pancreatic branch of Bühler's arcade which was embolized with coils. HP is a rare cause of upper gastrointestinal bleeding, often linked to pancreatitis (80%). Causes include pseudoaneurysms, pseudocysts, neoplasms or trauma. Diagnosis is challenging due to intermittent bleeding. Endovascular embolization is the treatment of choice [1] [2] [3].

Video http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/c631c358-5208-4c6e-b19b-429f2af3ba2b/Uploads/16849_Hemosuccus_pancreaticus_ESGEdays2025.mp4

Publikationsverlauf

Artikel online veröffentlicht:
27. März 2025

• References

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