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KMID : 0371320010600040460
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Journal of the Korean Surgical Society
2001 Volume.60 No. 4 p.460 ~ p.464
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Hemosuccus Pancreaticus (Hemoductal Pancreatitis, Gastrointestinal Hemorrhage Due to Rupture of a Splenic Artery Aneurysm into the Pancreatic Duct)
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Lee Kyeong-Geun
Kwon Oh-Jung
Kwak Jin-Young
Lee Kwong-Soo
Park Hwon-Kyum
Baik Hong-Kyu
Lee Heung-Woo
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Abstract
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Hemorrhage through the pancreatic duct into the duodenum is rare presentation of upper gastrointestinal bleeding. This condition is most commonly associated with inflammatory disorders of the pancrease with the bleeding originating from an area of hemorrhagic pancreatitis, abscess, or pseudocyst. A pseudoaneurysm of the splenic artery be can form as a result of erosion and autodigestion by the inflammatory process of this major blood vessel. More frequently, splenic artery aneurysms rupture into the greater or lesser peritoneal sacs, stomach, retroperitoneum, colon, or splenic vein. We experienced a patient with a prolonged history of upper gastrointestinal bleeding in which the diagnosis of hemosuccus pancreaticus secondary to a ruptured splenic artery aneurysm was diagnosed preoperatively. We report our experience with a review of the related literature.
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KEYWORD
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Hemosuccus pancreaticus, Splenic artery aneurysm, Pancreatic pseudocyst
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