Open AccessPseudo to pseudo connection: pseudoaneurysm draining into the pseudocyst causing pseudohaemobillia
Author(s) -
Waqas Ullah,
Mohsin Hamid,
Usman Sarwar,
Asif Mehmood
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-228441
Subject(s) - medicine , pseudoaneurysm , melena , radiology , pancreatic duct , ampulla of vater , pancreatitis , angiography , bleed , pancreatic pseudocyst , surgery , aneurysm , carcinoma
Haemosuccus pancreaticus (HP) is an exceedingly rare cause of lower gastrointestinal (GI) bleed where pseudoaneurysm of the peripancreatic vessels ruptures into a pancreatic pseudocyst and blood travel through the pancreatic duct, thereby, draining into GI tract via the ampulla of Vater. 1 We present a case of 65-year-old African-American woman with a history of alcohol abuse presented with melena for 1 day. The contrast-enhanced CT of abdomen/pelvis showed peripancreatic vascular pseudoaneurysm with active haemorrhage. Angiography confirmed the diagnosis of HP and successful transcatheter embolisation was performed.