Work

Complex Hemosuccus Pancreaticus from Dual Pseudoaneurysms: A Rare Case of Gastroduodenal and Inferior Pancreaticoduodenal Artery Involvement

Year: 2026

Type: article

Abstract: Hemosuccus pancreaticus (HP) is a rare yet critical cause of upper gastrointestinal bleeding, often challenging to diagnose due to its intermittent presentation. We present a complex case of HP in a 63-year-old woman with hematemesis and melena caused by dual pseudoaneurysms in the gastroduodenal and inferior pancreaticoduodenal arteries. Contrast-enhanced computed tomography (CT) and upper GI endoscopy confirmed active bleeding from the ampulla of Vater. Successful management was achieved with retrograde coil embolization. This case highlights the diagnostic and therapeutic challenges in HP and emphasizes the necessity of a multidisciplinary approach for managing dual pseudoaneurysms in this uncommon presentation.

Source: Journal of Brown Hospital Medicine

DOI: 10.56305/001c.157874

Authors: Sushrut Ingawale, Pujitha Vallivedu Chennakesavulu, Vineet Chandak, Mariam Farhan, Prabin Sharma

Institutions: St. Vincent's Medical Center, Quinnipiac University, King Edward Memorial Hospital and Seth G.S. Medical College

Language: English

Topic: Abdominal vascular conditions and treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W7147472389