A Novel Endoscopic Treatment of Hemosuccus Pancreaticus: A Stent Tree Tamponade

  • Ellen Gutkin New York Hospital Queens, Weill Cornell Medical College. Flushing, NY, USA
  • Sang H Kim New York Hospital Queens, Weill Cornell Medical College. Flushing, NY, USA
Keywords: Cholangiopancreatography, Endoscopic Retrograde, Hemorrhage, Pancreas, Pancreatic Ducts, Stents, Surgical Instruments

Abstract

Context Hemosuccus pancreaticus is a rare cause of intermittent upper gastrointestinal bleeding, commonly caused by aneurysmal rupture. Prompt diagnosis and treatment is required. The standard treatment involves embolization via interventional radiology or a surgical approach. Case report We report a novel endoscopic approach to hemosuccus pancreaticus with a successful tamponade via pancreatic biliary stents and resolution clips. Conclusion This is the only report of endoscopy as a therapeutic modality in a case of hemosuccus pancreaticus.

Downloads

Download data is not yet available.

Author Biographies

Ellen Gutkin, New York Hospital Queens, Weill Cornell Medical College. Flushing, NY, USA

Department of Medicine

Division of Gastroenterology

3rd year GI Fellow

Sang H Kim, New York Hospital Queens, Weill Cornell Medical College. Flushing, NY, USA

Department of Medicine

Division of Gastroenterology

Director of Biliary Endoscopy

Associate Program Director

References

Toyoki Y, Hakamada K, Narumi S, Nara M, Ishido K, Sasaki M. Hemosuccus pancreaticus: Problems and pitfalls in diagnosis and treatment. World J Gastro 2008; 14 (17): 2776-2779.

Stanley JC, Frey CF, Miller TA, Lindenauer SM, Child CG 3rd. Major arterial hemorrhage: a complication of pancreatic pseudocysts and chronic pancreatitis. Arch Surg 1976; 111: 435-440.

Rao RC, Kumar A, Berry M. Pseudoaneurysm of anomalous right hepatic artery as a cause for hemosuccus pancreatitis. Gastrointest Radiol 1987; 12: 313-314.

Fernandez-Cruz L, Pera M, Vilella A, Llovera JM, Navasa M, Teres J. Hemosuccus pancreaticus from a pseudoaneurysm of the hepatic artery proper in a patient with a pancreatic pseudocyst. Hepatogastroenterology 1992; 39: 149-151.

Risti B, Marincek B, Jost R, Decurtins M, Ammann R. Hemosuccus pancreaticus as a source of obscure upper gastrointestinal bleeding: three cases and literature review. Am J Gastroenterol 1995; 90: 1878-1880.

Jakobs R, Riemann JF. Hemosuccus pancreaticus due to a pressure ulcer in pancreatolithiasis. Dtsch Med Wochenschr 1992; 117: 1956-1961.

Sayilir A, Onal IK, Beyazit Y, Surmelioglu A, Salper OR, Odemis B, Parlak E, Sasmaz N. A rare cause of upper gastrointestinal bleeding: hemosuccus pancreaticus: angiographic and endoscopic combined treatment. Surg Laparosc Endosc Percutan Tech 2011; 21 (5): e286-7.

Common bile duct orifice at the ampulla showing yellow bile and pancreatic duct orifice showing red blood
Published
2012-05-10
How to Cite
GutkinE., & KimS. (2012). A Novel Endoscopic Treatment of Hemosuccus Pancreaticus: A Stent Tree Tamponade. JOP. Journal of the Pancreas, 13(3), 312-313. https://doi.org/10.6092/1590-8577/770
Section
CASE REPORTS