Haemosuccus pancreaticus due to mucinous cystadenocarcinoma: the significance of recurrent abdominal pain, hyperamylasaemia and a pancreatic cyst in association with recurrent gastrointestinal bleeding.
Haemosuccus pancreaticus is a rare cause of gastrointestinal haemorrhage, and when it presents in otherwise healthy people, can prove difficult to diagnose. The cardinal features are episodic epigastric pain associated with a raised serum amylase and the passage of melaena. Failure to make the connection between recurrent gastrointestinal bleeding and apparently unrelated symptoms attributable to pancreatitis may lead to a significant delay in diagnosis.
Macleod
A J
AJ
Department of Radiology, Raigmore Hospital, Inverness, Scotland.
Nichols
D M
DM
Munro
A
A
Duncan
J L
JL
Palmer
T J
TJ
D002288:Adenocarcinoma, Mucinous / Q000150:complications* / Q000473:pathology; D000681:Amylases / Q000097:blood; D017541:Aneurysm, False / Q000150:complications* / Q000175:diagnosis; D003951:Diagnostic Errors; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000473:pathology; D010192:Pancreatic Pseudocyst / Q000209:etiology*; D012008:Recurrence; D013157:Splenic Artery / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed
D000681:Amylases