Hemosuccus pancreaticus: diagnosis with CT and MRI and treatment with transcatheter embolization.
We report the case of a 56-year-old woman with a presyncopal episode followed by melena. A sentinel clot sign in the pancreatic duct on precontrast computed tomography and the presence of a splenic artery aneurysm on postcontrast computed tomography strongly suggested a fistula between the aneurysm and the duct, as visualized by magnetic resonance imaging. The patient was treated successfully by complete embolization of the splenic artery aneurysm.
Koizumi
J
J
Department of Radiology, Ise Keio Hospital, 2-7-28 Tokiwa, Ise-city, Mie-prefecture 516-0041, Japan.
Inoue
S
S
Yonekawa
H
H
Kunieda
T
T
D000783:Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D004621:Embolization, Therapeutic; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007089:Image Enhancement; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010183:Pancreatic Ducts / Q000000981:diagnostic imaging; D010185:Pancreatic Fistula / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D013157:Splenic Artery / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed