Ray Sukanta, Das Khaunish, Ray Sujay, Khamrui Sujan, Ahammed Mahiuddin, Deka Utpal
Division of Surgical Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India.
JOP. 2011 Sep 9;12(5):469-72.
Hemosuccus pancreaticus is a rare cause of upper gastrointestinal hemorrhage. The intensity of bleeding ranges from intermittent occult bleeding to massive acute bleeding leading to death. Although most cases can be managed by angioembolization, surgery plays an important role.
We report two cases of hemosuccus pancreaticus managed at our institution in the past three years. Both cases occurred associated with acute pancreatitis. A pseudocyst was found in one case. Angioembolization failed in one case and was not tried in the other because of hemodynamic instability. Both cases were successfully managed by surgery.
Timely intervention, either by embolization or by surgery, can control this potentially life-threatening bleeding. Choice of treatment, surgery or embolization, depends on technological availability and expertise of the practitioner.
胰源性出血是上消化道出血的罕见原因。出血强度从间歇性隐匿性出血到导致死亡的大量急性出血不等。虽然大多数病例可通过血管栓塞治疗，但手术也起着重要作用。
我们报告过去三年在我院治疗的两例胰源性出血病例。两例均与急性胰腺炎相关。其中一例发现有假性囊肿。一例血管栓塞治疗失败，另一例因血流动力学不稳定未尝试血管栓塞治疗。两例均通过手术成功治疗。
通过栓塞或手术进行及时干预可控制这种潜在的危及生命的出血。治疗方式的选择，即手术或栓塞，取决于技术可及性和从业者的专业技能。
