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Elusive Gastrointestinal Bleeding: A Rare Case of Venous Hemosuccus Pancreaticus

Year: 2025

Type: article

Abstract: Hemosuccus pancreaticus is a rare but potentially life-threatening cause of intermittent upper gastrointestinal bleeding, characterized by hemorrhage from the pancreatic duct into the duodenum. Most cases are secondary to chronic pancreatitis and rupture of visceral artery pseudoaneurysms, particularly the splenic artery. Management typically involves CT angiography with embolization of the bleeding vessel. We describe the case of a 68-year-old male found to have spontaneous bleeding from the ampulla of Vater, later determined to be of venous origin secondary to newly diagnosed pancreatic adenocarcinoma.

Source: Cureus

DOI: 10.7759/cureus.94118

Authors: Rohan Karkra, Muhammad Hassaan A Maan, Ritik M Goyal, Sima Vossough-Teehan

Institutions: Rutgers, The State University of New Jersey, Rutgers New Jersey Medical School, East Orange VA Medical Center

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: W4414965938