title: Hemosuccus pancreaticus associated with severe acute pancreatitis and pseudoaneurysms: a report of two cases.
abstract: BACKGROUND
  Hemosuccus pancreaticus is a rare cause of upper gastrointestinal hemorrhage. The intensity of bleeding ranges from intermittent occult bleeding to massive acute bleeding leading to death. Although most cases can be managed by angioembolization, surgery plays an important role.
  
  
  METHODS
  We report two cases of hemosuccus pancreaticus managed at our institution in the past three years. Both cases occurred associated with acute pancreatitis. A pseudocyst was found in one case. Angioembolization failed in one case and was not tried in the other because of hemodynamic instability. Both cases were successfully managed by surgery.
  
  
  CONCLUSIONS
  Timely intervention, either by embolization or by surgery, can control this potentially life-threatening bleeding. Choice of treatment, surgery or embolization, depends on technological availability and expertise of the practitioner.
authors: Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India. drsukantaray@yahoo.co.in
authors: Sukanta
authors: S
authors: Ray
authors: Khaunish
authors: K
authors: Das
authors: Sujay
authors: S
authors: Ray
authors: Sujan
authors: S
authors: Khamrui
authors: Mahiuddin
authors: M
authors: Ahammed
authors: Utpal
authors: U
authors: Deka
mesh_terms: D000208:Acute Disease; D000328:Adult; D017541:Aneurysm, False / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000098:blood supply / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D010182:Pancreatic Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D010195:Pancreatitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D012720:Severity of Illness Index