title: Successful endovascular treatment of hemosuccus pancreaticus due to splenic artery aneurysm associated with segmental arterial mediolysis.
abstract: Hemosuccus pancreaticus, which is generally due to the rupture of a splenic artery aneursym into the pancreatic duct, is a rare cause of intermittent upper gastrointestinal hemorrhage. Segmental arterial mediolysis (SAM) is a rare arteriopathy. We report a 53-year-old man with hemosuccus pancreaticus due to a splenic artery aneurysm associated with SAM. The patient, who also had a celiac artery aneurysm affected by SAM, was successfully treated by both coil embolization and aortic stent grafting for complete coverage of the celiac artery. SAM is a very rare cause of hemosuccus pancreaticus, and endovascular treatment may be favorable for hemosuccus pancreaticus.
authors.affiliation: Department of Surgery, Keio University School of Medicine, Tokyo, Japan. obara@z3.keio.jp
authors.forename: Hideaki
authors.initials: H
authors.lastname: Obara
authors.forename: Kentaro
authors.initials: K
authors.lastname: Matsubara
authors.forename: Masanori
authors.initials: M
authors.lastname: Inoue
authors.forename: Seishi
authors.initials: S
authors.lastname: Nakatsuka
authors.forename: Sachio
authors.initials: S
authors.lastname: Kuribayashi
authors.forename: Yuko
authors.initials: Y
authors.lastname: Kitagawa
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D004621:Embolization, Therapeutic; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008551:Melena / Q000209:etiology; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D016491:Peripheral Vascular Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D013157:Splenic Artery / Q000000981:diagnostic imaging; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome