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Hemosuccus Pancreaticus: A Challenging Diagnosis and Complex Management

Year: 2025

Type: article

Abstract: Hemosuccus pancreaticus (HP) is an uncommon and infrequently reported cause of upper gastrointestinal bleeding. It is defined as a hemorrhage into the pancreatic duct, which subsequently drains into the duodenum via the ampulla of Vater. The condition is typically associated with underlying pancreatic pathology, such as pancreatitis, pseudocysts, or vascular abnormalities, including splenic artery aneurysms. Clinically, HP presents with intermittent gastrointestinal bleeding, epigastric pain, and a drop in hemoglobin levels; features that often delay diagnosis due to their non-specific and episodic nature. Early recognition is essential, as the condition carries a high risk of morbidity and mortality if not promptly managed. We present a diagnostically challenging case of HP in a frail patient with multiple comorbidities, highlighting the importance of clinical vigilance and multidisciplinary coordination.

Source: Cureus

DOI: 10.7759/cureus.86403

Authors: Ahmed Hassanien, Abdullah Motam

Institutions: East Lancashire Hospitals NHS Trust, Royal Blackburn Teaching Hospital

Language: English

Topic: Abdominal vascular conditions and treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4411465737