Obscure upper gastrointestinal haemorrhage: haemosuccus pancreaticus

Haemosuccus pancreaticus, a rare cause of upper gastrointestinal bleeding.

Upper gastrointestinal bleeding is most commonly caused by lesions in the oesophagus, stomach or duodenum. In a minority of cases the bleeding originates from the pancreatic duct, and is known as haemosuccus pancreaticus. In many cases it is associated with chronic pancreatitis. Diagnostic strategies and therapeutic options are discussed.

Haemosuccus pancreaticus due to true splenic artery aneurysm: a rare cause of massive upper gastrointestinal bleeding

"Haemosuccus pancreaticus" is an unusual cause of severe upper gastrointestinal bleeding and results from rupture of splenic artery aneurysm into the pancreatic duct. More commonly, it is a pseudoaneurysm of the splenic artery which develops as sequelae of pancreatitis. However, true aneurysm of the splenic artery without pancreatitis has rarely been incriminated as the etiologic factor of this...

Obscure gastrointestinal haemorrhage of small-bowel origin.

The records of 37 patients investigated for obscure gastrointestinal haemorrhage originating from the small bowel were reviewed retrospectively. Bleeding was caused by Meckel's diverticula in eight cases, smooth muscle tumours in seven cases, vascular anomalies in 14 cases, and other single lesions in eight cases. The lesions were identified by angiography in 18 patients, operation in 17, and b...

Endoscopy in upper gastrointestinal haemorrhage.

Endoscopy was performed in 194 patients who presented with upper gastrointestinal haemorrhage from January 1986 through June 1987. A cause of bleeding was identified in 187 cases (96.4%). The most common cause was duodenal ulcer which was evident in 84 cases (43.3%). Endoscopic proof of bleeding was seen in 122 patients (65.2%) while an assumed cause was designated in 65 cases (34.8%). Endoscop...

Haemosuccus Pancreaticus in Chronic Pancreatitis — Diagnosis and Treatment