Ann Ital Chir. 2020;91:27-34.
Hemosuccus pancreaticus is a rare clinical condition, defined as a bleeding from an artery around the pancreas or a lesion on the pancreas, to the pancreatic duct. The intensity of bleeding can vary from occult bleeding to life threatening massive acute bleeding. In this article, we aimed to present a 68-year-old man who presented to our clinic with recurrent upper gastrointestinal bleeding and abdominal pain. Endoscopy revealed hemorrhage from ampulla vateri, CT angiographic examination showed an aneurysm of the splenic artery and that the splenic artery was connected to the pancreatic duct.Splenectomy and subtotal pancreatectomy was performed on the patient. The patient was discharged with healing. Hemosuccus pancreaticus should be kept in mind in patients with a history of pancreatitis and peripancreatic aneurysm and upper gastrointestinal bleeding.The early diagnosis and treatment of HP is life-saving. In this study, we aimed to review the basic symptoms and clinical findings, along with the diagnosis and treatment methods of HP. KEY WORDS: Gastrointestinal bleeding, Pancreas, Splenic Artery.
胰血管性出血是一种罕见的临床病症，定义为胰腺周围动脉或胰腺上的病变出血进入胰管。出血的强度可以从隐匿性出血到危及生命的急性大量出血不等。在本文中，我们旨在介绍一位 68 岁男性，因反复上消化道出血和腹痛就诊于我院。内镜检查显示壶腹出血，CT 血管造影显示脾动脉动脉瘤，脾动脉与胰管相通。患者行脾切除术和胰体尾切除术。患者治愈出院。对于有胰腺炎和胰周动脉瘤病史以及上消化道出血的患者，应考虑胰血管性出血。早期诊断和治疗 HP 是挽救生命的关键。本研究旨在综述 HP 的基本症状和临床表现，以及诊断和治疗方法。关键词：胃肠道出血、胰腺、脾动脉。
