Hemosuccus Pancreaticus: Diagnostic Pitfalls of a Rare Condition

Author:

Busebee Bradley1ORCID,AT Kurdi2,BR Stultz1,LN Sayegh3,Coelho-Prabhu Nayantara2

Affiliation:

1. Department of Internal Medicine, Mayo Clinic, Rochester, MN

2. Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN

3. Faculty of Medicine, American University of Beirut Medical Center, Beirut, Lebanon

Abstract

ABSTRACT The combination of cirrhosis and chronic pancreatitis is rare and poses increased risk of hemorrhage requiring close clinical monitoring. We present a patient with history of alcohol-associated cirrhosis and chronic pancreatitis who was admitted to the intensive care unit with clinical hemorrhage believed secondary to epistaxis. After initial delay, esophagogastroduodenoscopy ultimately found blood and clots evacuating through the ampulla consistent with hemosuccus pancreaticus confirmed with computed tomography angiography. The patient ultimately improved with coil and gel foam vascular embolization. This case highlights the dangers of early diagnostic closure and presents a rare finding of hemosuccus without pseudoaneurysm formation.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

Reference19 articles.

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