Blood in the T-tube as a side effect of hemosuccus pancreaticus.
This study examined a 60-year-old female patient with chronic pancreatitis and hemosuccus pancreaticus (HP), who was once misdiagnosed with biliary bleeding because of choledocholithiasis and T-tube drainage. Bleeding from the T-tube was demonstrated as a side effect of HP. The difficulty in diagnosing this case was attributed to the absence of pseudocysts or obvious aneurysms on CT images. Conclusively, for patients with indirect signs of biliary bleeding, such as bleeding from a T-tube, the possibility of the symptoms being side effects of pancreatic bleeding should be considered.
Department of Gastroenterology, Changhai Hospital, the Second Military Medical University, Shanghai, China.
Wen-Bin
WB
Zou
Department of Gastroenterology, Changhai Hospital, the Second Military Medical University, Shanghai, China.
Liang-Hao
LH
Hu
Department of Gastroenterology, Changhai Hospital, the Second Military Medical University, Shanghai, China.
Jia-Yun
JY
Chen
Department of Gastroenterology, Changhai Hospital, the Second Military Medical University, Shanghai, China.
Ping
P
Ye
Department of Gastroenterology, Changhai Hospital, the Second Military Medical University, Shanghai, China. Electronic address: liao.zhuan@gmail.com.
Zhuan
Z
Liao
Department of Gastroenterology, Changhai Hospital, the Second Military Medical University, Shanghai, China. Electronic address: zhaoshen-li@hotmail.com.
Zhao-Shen
ZS
Li
D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D010179:Pancreas / Q000098:blood supply*; D010182:Pancreatic Diseases / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D010183:Pancreatic Ducts / Q000473:pathology*
Angiography; Chronic pancreatitis; ERCP; Hemosuccus pancreaticus; Splenic artery; T-tube bleeding