title: A rare cause of hemosuccus pancreaticus: primary splenic artery aneurysm ruptured into pancreatic serous cystadenoma.
abstract: Hemosuccus pancreaticus is a rare clinical condition defined as bleeding into the pancreatic duct from a peripancreatic artery. We present here a 57-year-old woman admitted to our clinic with abdominal pain, tar-colored stool and confusion. Further investigations were done because of severe anemia. Abdominal computerized tomography revealed intraabdominal hematoma. Laparotomy was performed, which confirmed that intraabdominal haemorrhagia had occurred with the rupture of a splenic artery aneurysm into a pancreatic serous cystadenoma, which ruptured into the abdomen because of high pressure. This is an interesting case diagnosed with multidisciplinary approaches.
authors.affiliation: Department of Internal Medicine, Division of Gastroenterohepatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey. binnurcapa@yahoo.com
authors.forename: Binnur
authors.initials: B
authors.lastname: Pinarbaşi
authors.forename: Sule
authors.initials: S
authors.lastname: Poturoğlu
authors.forename: Hakan
authors.initials: H
authors.lastname: Yanar
authors.forename: Koray
authors.initials: K
authors.lastname: Güven
authors.forename: Filiz
authors.initials: F
authors.lastname: Akyüz
authors.forename: Ferhunde
authors.initials: F
authors.lastname: Dizdaroğlu
authors.forename: Mine
authors.initials: M
authors.lastname: Güllüoğlu
authors.forename: Korhan
authors.initials: K
authors.lastname: Taviloğlu
authors.forename: Sabahattin
authors.initials: S
authors.lastname: Kaymakoğlu
authors.forename: Zeynel
authors.initials: Z
authors.lastname: Mungan
mesh_terms: D017542:Aneurysm, Ruptured / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000792:Angiography; D002445:Celiac Artery / Q000000981:diagnostic imaging; D018293:Cystadenoma, Serous / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007813:Laparotomy; D008875:Middle Aged; D010181:Pancreatic Cyst / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010183:Pancreatic Ducts / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D035583:Rare Diseases; D012422:Rupture, Spontaneous / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D013156:Splenectomy; D013157:Splenic Artery / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed