Advertisement

Management of Bleeding from the Pancreas

  • Eugene P. Ceppa
  • Dana Portenier
Chapter

Abstract

Acute hemorrhage originating from the pancreas is the least common form of upper gastrointestinal bleed [1,2]. Specifically, hemorrhage from the pancreatic duct through the papilla of Vater is rare with approximately 100 cases having been reported in the literature. The first report by Lower and Farrell in 1931 identified a splenic artery aneurysm as the cause [3].

Keywords

Pancreatic Duct Main Pancreatic Duct Splenic Artery Coil Embolization Endovascular Technique 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Peroux JL, Arput JP, Saint-Paul MC, et al. Wirsungorrhagia complicating chronic pancreatitis associated with a neuroendocrine tumor of the pancreas. Gastroenterol Clin Biol 1994;18(12):1142–1145.PubMedGoogle Scholar
  2. 2.
    Suter M, Doenz F, Chapuis G, et al. Haemorrhage into the pancreatic duct (Hemosuccus pancreaticus): recognition and management. Eur J Surg 1995;161(12):887–892.PubMedGoogle Scholar
  3. 3.
    Lower W and Farrell J. Aneurysm of the splenic artery: report of a case and review of the literature. Arch Surg 1931;23:182–190.Google Scholar
  4. 4.
    van Kemmel M. Massive digestive hemorrhage due to erosion of the gastroduodenal artery into a pseudocyst of the pancreas. Sem Hop 1969;45(41):2564–2566.PubMedGoogle Scholar
  5. 5.
    Kim SS, Roberts RR, Nagy KK, et al. Hemosuccus pancreaticus after penetrating trauma to the abdomen. J Trauma 2000;49(5):948–950.CrossRefPubMedGoogle Scholar
  6. 6.
    Sandblom P. Gastrointestinal hemorrhage through the pancreatic duct. Ann Surg 1970;171(1):61–66.CrossRefPubMedGoogle Scholar
  7. 7.
    Longmire WP, Jr. and Rose AS, III. Hemoductal pancreatitis. Surg Gynecol Obstet 1973;136(2):246–250.PubMedGoogle Scholar
  8. 8.
    Etienne S, Pessaux P, Tuech JJ, et al. Hemosuccus pancreaticus: a rare cause of gastrointestinal bleeding. Gastroenterol Clin Biol 2005;29(3):237–242.CrossRefPubMedGoogle Scholar
  9. 9.
    Frayssinet R, Sahel J and Sarles H. Wirsungorrhagia. Report of a case and review of the literature (author’s transl). Gastroenterol Clin Biol 1978;2(12):993–1000.Google Scholar
  10. 10.
    Rohner A. Severe digestive hemorrhage caused by rupture of an aneurysm of the splenic artery into the pancreatic ducts. Gastroenterologia 1967;108(1):31–43.CrossRefPubMedGoogle Scholar
  11. 11.
    Sakorafas GH, Sarr MG, Farley DR, et al. Hemosuccus pancreaticus complicating chronic pancreatitis: an obscure cause of upper gastrointestinal bleeding. Langenbecks Arch Surg 2000;385(2):124–128.CrossRefPubMedGoogle Scholar
  12. 12.
    Arnaud JP, Bergamaschi R, Serra-Maudet V and Casa C. Pancreatoduodenectomy for hemosuccus pancreaticus in silent chronic pancreatitis. Arch Surg 1994;129(3):333–334.PubMedGoogle Scholar
  13. 13.
    El Hamel A, Parc R, Adda G, et al. Bleeding pseudocysts and pseudoaneurysms in chronic pancreatitis. Br J Surg 1991;78(9):1059–1063.CrossRefPubMedGoogle Scholar
  14. 14.
    Stanley JC, Frey CF, Miller TA, et al. Major arterial hemorrhage: a complication of pancreatic pseudocysts and chronic pancreatitis. Arch Surg 1976;111(4):435–440.PubMedGoogle Scholar
  15. 15.
    Rao RC, Kumar A and Berry M. Pseudoaneurysm of anomalous right hepatic artery as a cause for hemosuccus pancreatitis. Gastrointest Radiol 1987;12(4):313–314.CrossRefPubMedGoogle Scholar
  16. 16.
    Fernandez-Cruz L, Pera M, Vilella A, et al. Hemosuccus pancreaticus from a pseudoaneurysm of the hepatic artery proper in a patient with a pancreatic pseudocyst. Hepatogastroenterology 1992;39(2):149–151.PubMedGoogle Scholar
  17. 17.
    Bender JS, Bouwman DL, Levison MA and Weaver DW. Pseudocysts and pseudoaneurysms: surgical strategy. Pancreas 1995;10(2):143–147.CrossRefPubMedGoogle Scholar
  18. 18.
    Maus TP. Pseudoaneurysm hemorrhage as a complication of pancreatitis. Mayo Clin Proc 1993;68(9):895–896.PubMedGoogle Scholar
  19. 19.
    Heath DI, Reid AW and Murray WR. Bleeding pseudocysts and pseudoaneurysms in chronic pancreatitis. Br J Surg 1992;79(3):281.CrossRefPubMedGoogle Scholar
  20. 20.
    Smith RE, Fontanez-Garcia D and Plavsic BM. Gastrointestinal case of the day. Pseudoaneurysm of the left gastric artery as a complication of acute pancreatitis. Radiographics 1999;19(5):1390–1392.PubMedGoogle Scholar
  21. 21.
    Negi SS, Sachdev AK, Bhojwani R, et al. Experience of surgical management of pseudo-aneurysms of branches of the coeliac axis in a North Indian Hospital. Trop Gastroenterol 2002;23(2):97–100.PubMedGoogle Scholar
  22. 22.
    Jakobs R and Riemann JF. Hemosuccus pancreaticus due to a pressure ulcer in pancreatolithiasis. Dtsch Med Wochenschr 1992;117(51–52):1956–1961.CrossRefPubMedGoogle Scholar
  23. 23.
    Risti B, Marincek B, Jost R, et al. Hemosuccus pancreaticus as a source of obscure upper gastrointestinal bleeding: three cases and literature review. Am J Gastroenterol 1995;90(10):1878–1880.PubMedGoogle Scholar
  24. 24.
    Quandalle P, Gambiez L, Brami F, et al. Gastrointestinal hemorrhage caused by rupture of an aneurysm of visceral arteries. Presentation of 4 cases. Chirurgie 1998;123(2):139–147.CrossRefPubMedGoogle Scholar
  25. 25.
    Akpinar H, Dicle O, Ellidokuz E, et al. Hemosuccus pancreaticus treated by transvascular selective arterial embolization. Endoscopy 1999;31(2):213–214.PubMedGoogle Scholar
  26. 26.
    Waltman AC, Luers PR, Athanasoulis CA and Warshaw AL. Massive arterial hemorrhage in patients with pancreatitis. Complementary roles of surgery and transcatheter occlusive techniques. Arch Surg 1986;121(4):439–443.PubMedGoogle Scholar
  27. 27.
    Adams DB, Zellner JL and Anderson MC. Arterial hemorrhage complicating pancreatic pseudocysts: role of angiography. J Surg Res 1993;54(2):150–156.CrossRefPubMedGoogle Scholar
  28. 28.
    Salam TA, Lumsden AB, Martin LG and Smith RB, III. Nonoperative management of visceral aneurysms and pseudoaneurysms. Am J Surg 1992;164(3):215–219.CrossRefPubMedGoogle Scholar
  29. 29.
    Boudghene F, L‘Hermine C and Bigot JM. Arterial complications of pancreatitis: diagnostic and therapeutic aspects in 104 cases. J Vasc Interv Radiol 1993;4(4):551–558.CrossRefPubMedGoogle Scholar
  30. 30.
    Knight RW, Kadir S and White RI, Jr. Embolization of bleeding transverse pancreatic artery aneurysms. Cardiovasc Intervent Radiol 1982;5(1):37–39.CrossRefPubMedGoogle Scholar
  31. 31.
    Morse JM, Reddy KR and Thomas E. Hemosuccus pancreaticus: a cause for obscure gastrointestinal bleeding–diagnosis by endoscopy and successful management by total parenteral nutrition. Am J Gastroenterol 1983;78(9):572–574.PubMedGoogle Scholar
  32. 32.
    Clay RP, Farnell MB, Lancaster JR, et al. Hemosuccus pancreaticus. An unusual cause of upper gastrointestinal bleeding. Ann Surg 1985;202(1):75–79.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Department of General & Thoracic SurgeryDuke University Medical CenterDurhamUSA
  2. 2.Department of SurgeryDuke University Medical CenterDurhamUSA

Personalised recommendations