title: Hemosuccus pancreaticus secondary to intraductal rupture of a primary splenic artery aneurysm: diagnosis by ERCP and successful management by interventional radiology.
abstract: This report describes the case of a 65-year-old man with a prolonged history of gastrointestinal bleeding of unknown origin. During a 2-year period, he underwent 28 endoscopic procedures, three angiographies with or without heparin provocation, a nuclear scan, and abdominal magnetic resonance imaging, none of which were diagnostic. A blind ileocecal resection was also carried out. A diagnosis of hemosuccus pancreaticus secondary to a ruptured primary splenic artery aneurysm was obtained by endoscopic retrograde cholangiopancreatography, and successful interventional radiographic embolization of the splenic artery aneurysm was conducted. During a 17-month follow-up period, no relapse of gastrointestinal bleeding was observed.
authors.affiliation: Digestive Endoscopy Unit, Sacred Heart Catholic University A Gemelli University Hospital, Italy.
authors.forename: O
authors.initials: O
authors.lastname: Hasaj
authors.forename: C
authors.initials: C
authors.lastname: Di Stasi
authors.forename: V
authors.initials: V
authors.lastname: Perri
authors.forename: A
authors.initials: A
authors.lastname: Tringali
authors.forename: G
authors.initials: G
authors.lastname: Costamagna
mesh_terms: D000368:Aged; D017542:Aneurysm, Ruptured / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*; D016558:Hemostasis, Endoscopic; D006801:Humans; D008297:Male; D010183:Pancreatic Ducts / Q000000981:diagnostic imaging*; D015641:Radiography, Interventional; D013157:Splenic Artery / Q000000981:diagnostic imaging*