Hemosuccus pancreaticus is defined as intermittent bleeding from the pancreatic duct into the GI tract, usually caused by the rupture of an pseudoaneurysm, which is usually associated with pancreatitis, abdominal surgery, and can result in life-threatening hemorrhage. Hyperparathyroidism is a rare cause of pancreatitis, it should be suspected in all patients with a history of primary hyperpara¬...

Hospital Physician September 2007 61 H emorrhage from the pancreatic duct, referred to as hemosuccus pancreaticus or pseudohemobilia, is a rare cause of gastrointestinal (GI) bleeding. This potentially life-threatening complication of pancreatitis may pose a significant diagnostic and therapeutic dilemma, especially in patients who do not exhibit symptoms such as abdominal pain, jaundice, or GI...

Hemosuccus pancreaticus (bleeding from the pancreatic duct into the gastrointestinal tract via the ampulla of Vater) is a rare, potentially life-threatening and obscure cause of upper gastrointestinal bleeding. It is caused by rupture of the psuedoaneurysm of a peripancreatic vessel into pancreatic duct or pancreatic psuedocyst in the context of pancreatitis or pancreatic tumors. It can pose a ...

CONTEXT Hemosuccus pancreaticus, a rare cause of intermittent upper gastrointestinal bleeding, is usually caused by the rupture of an aneurysm associated with chronic pancreatitis. Segmental arterial mediolysis is a rare non-arteriosclerotic, non-inflammatory vascular disease characterized by vacuolization and lysis of the arterial smooth muscle cells. Segmental arterial mediolysis often causes...

Pancreatic diseases are known to be associated with complications such as pseudocyst and abscess. A pseudoaneurysm associated with pancreatitis may develop as well. The pseudoaneurysm may rupture into various parts of the gastrointestinal tract; the peritoneal cavity, or the retroperitoneum. We report two cases of Hemosuccus pancreaticus admitted to our center in the past five years. One case w...

Although hemosuccus pancreaticus (HP) rarely causes gastrointestinal bleeding, it should be considered in cases of unexplained gastrointestinal bleeding. We report a case of hemosuccus pancreaticus in a 68-year-old man. The patient has a long-standing history of anemia with a causal relation to drinking alcohol. He consulted 3 medical institutions, but the source of bleeding could not be identi...

INTRODUCTION Hemorrhage from the pancreatic duct is a rare source of gastrointestinal bleeding and references to it in the medical literature remain mostly limited to case reports and short reviews, with about 100 cases identified to date (1,2). Since the first report by Lower and Farrel in 1931 (3), many terms have been used to describe the phenomenon, including wirsungorrhagia proposed by Van...

Hemosuccus pancreaticus, also named as Wirsungorrhagia or psuedohematobilia is a rare condition of intermittent hemorrhage from upper gastrointestinal tract. The source of bleeding is from a visceral aneurysm into main pancreatic duct in patients with chronic pancreatitis. It is a life threatening complication of pancreatitis and a significant diagnostic challenge due to its intermittent nature...

CONTEXT 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. CASE REPORT We report two cases of hemosuccus pancreaticus managed at our institution in the past three year...

We read with interest the article by Ray S. et al. recently published in JOP. Journal of the Pancreas [1]. We agree with authors that given the rarity and intermittent course of hemosuccus pancreaticus, difficulties in determining the location of bleeding sometimes cause delay of treatment. Until now, reports on hemosuccus pancreaticus in transplant population have been quite limited. Therefore...