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Hemosuccus Pancreaticus in a Patient with Iodine Allergy: Successful Diagnosis with Magnetic Resonance Imaging and Treatment with Transarterial Embolization Using Carbon Dioxide as the Contrast Medium

  • Soichiro MikiEmail author
  • Kensaku Mori
  • Shiigai Masanari
  • Toshihiro Furuta
  • Tsukasa Saida
  • Makiko Hiratsuka
  • Eriko Tohno
  • Manabu Minami
Case Report

Abstract

Hemosuccus pancreaticus (HP) is defined as gastrointestinal bleeding via the pancreatic duct and duodenal papilla. Since the bleeding is usually intermittent, it often remains undetected by endoscopy. Most cases are diagnosed by contrast-enhanced computed tomography (CT) or angiography, and the first-line treatment is transarterial embolization (TAE). However, in general, these modalities require a large amount of iodinated contrast medium. Here, we report the case of a 50-year-old female with HP due to chronic pancreatitis. Contrast-enhanced CT and ordinary angiography were contraindicated for her, as she was allergic to iodine. She was diagnosed with HP following gadolinium-enhanced magnetic resonance imaging and successfully treated by TAE of the splenic artery with metallic coils using carbon dioxide as the contrast medium.

Keywords

Hemosuccus pancreaticus Chronic pancreatitis Arterial embolization Iodinated contrast medium allergy Gastrointestinal bleeding 

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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Soichiro Miki
    • 1
    Email author
  • Kensaku Mori
    • 2
  • Shiigai Masanari
    • 2
  • Toshihiro Furuta
    • 1
  • Tsukasa Saida
    • 2
  • Makiko Hiratsuka
    • 3
  • Eriko Tohno
    • 2
  • Manabu Minami
    • 2
  1. 1.Department of RadiologyThe University of Tokyo HospitalBunkyo-wardJapan
  2. 2.Department of Diagnostic and Interventional RadiologyTsukuba University HospitalTsukubaJapan
  3. 3.Department of RadiologyKanto Medical Center NTT ECShinagawa-wardJapan

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