Sayilir Abdurrahim, Onal Ibrahim K, Beyazit Yavuz, Surmelioğlu Ali, Salper Okten R, Odemis Bulent, Parlak Erkan, Sasmaz Nurgul
Department of Gastroenterology, Turkiye Yuksek Ihtisas Teaching and Research Hospital, Ankara, Turkey.
Surg Laparosc Endosc Percutan Tech. 2011 Oct;21(5):e286-7. doi: 10.1097/SLE.0b013e31822f50b6.
Hemosuccus pancreaticus (HP) is a rare cause of upper gastrointestinal bleeding. Pancreatitis are the most common cause of HP. Here, we report the case of a 48-year-old male with HP due to alcohol-induced chronic pancreatitis. Superior mesenteric angiography showed an inferior pancreaticoduodenal artery pseudoaneurysm. The patient underwent coil embolization for treatment of his pseudoaneurysm. Endoscopic retrograde cholangiopancreatography and pancreatic stents replacement was performed for pancreatic pseudocyst drainage. In patients with HP, angiographic and endoscopic combined treatment can protect from the risks of surgery.
胰源性腹水（HP）是上消化道出血的罕见原因。胰腺炎是HP最常见的病因。在此，我们报告一例因酒精性慢性胰腺炎导致HP的48岁男性病例。肠系膜上动脉造影显示胰十二指肠下动脉假性动脉瘤。患者接受了弹簧圈栓塞术以治疗其假性动脉瘤。为引流胰腺假性囊肿进行了内镜逆行胰胆管造影术及更换胰腺支架。对于HP患者，血管造影和内镜联合治疗可避免手术风险。
