Hemosuccus Pancreaticus in a Child - A Case Report

Vijayalakshmi Ambati, Sreelekha Palle, Prathyusha Peddolla
2022 Journal of Evolution of Medical and Dental Sciences  
Pleural effusions in acute pancreatitis are usually small, occasionally bloody, characterized by high amylase, protein levels.1 Majority of pleural effusions secondary to pancreatitis are left-sided (68 %) or bilateral (22 %) and only 10 % are right sided. Hemosuccus pancreaticus (HP) is caused by rupture of aneurysm of a peripancreatic vessel into pancreatic duct or pancreatic pseudocyst in the context of pancreatitis. HP is the least frequent cause of upper gastrointestinal bleeding (1 /
more » ... , but can lead to potentially life threatening2 massive gastrointestinal bleeding. Hemosuccus pancreaticus is defined as bleeding from the ampulla of Vater via pancreatic duct. It is due to a bleeding source in the pancreas, pancreatic duct, or structures adjacent to the pancreas, like the gastroduodenal and splenic artery. The most common cause is a pseudoaneurysm of peripancreatic arteries due to acute or chronic pancreatitis.3,4 Other rare causes are trauma,5 rupture of a true aneurysm,6 pancreatic tumours,7 arteriovenous (AV) malformations,8 endoscopic ultrasoundguided fine needle aspiration from pancreatic cyst9 etc.
doi:10.14260/jemds/2022/57 fatcat:7cqv6vb5brca5dfk5esqbdtoje