Open AccessHemosuccus Pancreaticus in a Child - A Case Report
Author(s) -
Vijayalakshmi Ambati,
Sreelekha Palle,
Prathyusha Peddolla
Publication year - 2022
Publication title -
journal of evolution of medical and dental sciences
Language(s) - English
Resource type - Journals
eISSN - 2278-4802
pISSN - 2278-4748
DOI - 10.14260/jemds/2022/57
Subject(s) - medicine , pancreatitis , pancreatic duct , pseudoaneurysm , pancreas , pancreatic pseudocyst , ampulla of vater , acute pancreatitis , gastrointestinal bleeding , radiology , upper gastrointestinal bleeding , pancreas divisum , gastroenterology , aneurysm , surgery , endoscopy , carcinoma
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 / 1500), 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.