A Rare Case of Hemosuccus Pancreaticus: Presentation Patterns, Diagnostic Approaches, and Therapeutic Strategies
Abstract:
Hemosuccus pancreaticus is a frequent but significant and even a potentially fatal cause of acute upper gastrointestinal bleeding. It is characterized by intermittent hemorrhage from the major duodenal papilla via the main pancreatic duct. Chronic pancreatitis leading to peripancreatic pseudoaneurysm is a common underlying cause. Other common causes associated can be ulcers, inflammatory bowel disease, cancer, diverticulitis and others. Rare conditions such as hemobilia, hemosuccus pancreaticus, and fistula can also be found to be associated. However, hemosuccus pancreaticus associated with gastroduodenal artery pseudoaneurysms remains extremely rare in the context of upper gastrointestinal bleeding. This report describes a rare instance of a 40-year-old male with hemosuccus pancreaticus, with initial complaint of hematochezia and abdominal pain.
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