A rare cause of hemosuccus pancreaticus: primary splenic artery aneurysm ruptured into pancreatic serous cystadenoma.
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.
Pinarbaşi
Binnur
B
Department of Internal Medicine, Division of Gastroenterohepatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey. binnurcapa@yahoo.com
Poturoğlu
Sule
S
Yanar
Hakan
H
Güven
Koray
K
Akyüz
Filiz
F
Dizdaroğlu
Ferhunde
F
Güllüoğlu
Mine
M
Taviloğlu
Korhan
K
Kaymakoğlu
Sabahattin
S
Mungan
Zeynel
Z
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