Santorinirrhage: hemosuccus pancreaticus in pancreas divisum.
We describe a previously unreported complication of pancreas divisum: severe and repeated episodes of gastrointestinal bleeding through the main pancreatic duct (hemosuccus pancreaticus) in a 34-yr-old woman over a period of 10 months. She had negative investigations, including a blank laparotomy, until an endoscopic retrograde cholangiopancreatography revealed a pancreas divisum with chronic pancreatitis and a small pseudocyst at the tail of the dorsal pancreas. During the procedure, bleeding through the papilla minor was observed coming from Santorini's duct. A corporocaudal pancreatectomy was done and the bleeding episodes have subsided.
Vázquez-Iglesias
J L
JL
Department of Surgery, Hospital Juan Canalejo, La Coruña, Spain.
Durana
J A
JA
Yañez
J
J
Rodriguez
H
H
Garcia-Vallejo
L
L
Arnal
F
F
D000328:Adult; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000097:blood / Q000209:etiology*; D006400:Hematocrit; D006801:Humans; D010179:Pancreas / Q000002:abnormalities* / Q000000981:diagnostic imaging; D010183:Pancreatic Ducts; D011859:Radiography; D013272:Stomach Diseases / Q000097:blood / Q000209:etiology*