title: Hemosuccus pancreaticus: a rare complication of chronic pancreatitis.
abstract: Hemosuccus pancreaticus is a very rare cause of gastrointestinal bleeding and it should be considered in every patient with history of chronic pancreatitis who presents with acute or intermittent gastrointestinal haemorrhage. A 54-year-old man with a history of chronic alcoholic pancreatitis was admitted to hospital for an acute exacerbation. During hospital stay, he presented with haematemesis and haemodynamic instability. Upper gastrointestinal endoscopy revealed a blood clot on Vater papilla. CT investigation showed a 4 cm cephalopancreatic pseudocyst and angiography identified a large pseudoaneurysm of the right gastroepiploic artery, bleeding into the pseudocyst-hemosuccus pancreaticus. Microcoil transcatheter embolisation was performed with success.
authors.affiliation: Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
authors.forename: Joana
authors.initials: J
authors.lastname: Ferreira
authors.affiliation: Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
authors.forename: Amelia Brandao
authors.initials: AB
authors.lastname: Tavares
authors.affiliation: Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
authors.forename: Elsa
authors.initials: E
authors.lastname: Costa
authors.affiliation: Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
authors.forename: Jorge
authors.initials: J
authors.lastname: Maciel
mesh_terms: D014670:Ampulla of Vater / Q000473:pathology*; D017541:Aneurysm, False / Q000150:complications* / Q000175:diagnosis; D004621:Embolization, Therapeutic; D024405:Gastroepiploic Artery / Q000473:pathology*; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006396:Hematemesis / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010183:Pancreatic Ducts / Q000473:pathology*; D019512:Pancreatitis, Alcoholic / Q000150:complications* / Q000473:pathology