Gastrointestinal bleeding caused by haemosuccus pancreaticus. A presentation of two cases.
Two cases of gastro-intestinal bleeding due to haemosuccus pancreaticus (hemorrhage through the pancreatic duct) are presented. Both patients had hematemesis and melena in combination with epigastric pain and hyperamylasemia. Angiography revealed aneurysms of the splenic artery as the probable source of bleeding. Central ligation of the splenic artery with splenectomy cured both patients. Angiographic obliteration of the splenic aneurysm was used preoperatively in one case.
D000328:Adult; D000368:Aged; D000783:Aneurysm / Q000150:complications*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008026:Ligation; D008297:Male; D010183:Pancreatic Ducts; D013156:Splenectomy; D013157:Splenic Artery