[Haemosuccus pancreaticus].
Haemosuccus pancreaticus is a rare cause of gastrointestinal bleeding. The blood is passing into the pancreatic duct through the route between an aneurysm of an artery close to the pancreas and pancreatic duct. The blood goes to the gastrointestinal system through Vater's papilla and the patient becomes anemic. The authors describe their own clinical observations. In the presented paper the pathogenesis of the disease as well as difficulties of diagnosis are discussed. The possible ways of treatment are mentioned, too. It is necessary to consider haemosuccus pancreaticus in patients with proved chronic pancreatitis and in patients with ethylic anamnesis. Duodenoscopy, ERCP and especially angiography help to set the diagnosis. For the treatment it is recommended to perform the embolization of the bleeding artery or an operation such as pancreas resection, artery ligation or alternatively a drainage operation.
Jon
B
B
Chirurgische Universitätsklinik der Medizinischen Fakultät, Karls' Universität, Hradec Králové, Tschechische Republik. jon@fnhk.cz
Rejchrt
S
S
Voboril
Z
Z
D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002908:Chronic Disease; D004322:Drainage; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008026:Ligation; D008297:Male; D010183:Pancreatic Ducts / Q000601:surgery; D010193:Pancreaticojejunostomy; D010195:Pancreatitis / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D013157:Splenic Artery / Q000601:surgery; D016896:Treatment Outcome