Korean J Gastrointest Endosc > Volume 39(6); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;39(6): 389-392.
혈액담즙증으로 오인된 Hemosuccus Pancreaticus 1예
이승화ㆍ고동희ㆍ박선욱ㆍ김지연ㆍ김용욱ㆍ장현주ㆍ계세협ㆍ이 진
한림대학교 의과대학 내과학교실
A Case of Hemosuccus Pancreaticus Mistaken for Hemobilia
Seung Hwa Lee, M.D., Dong Hee Koh, M.D., Seon Wook Park, M.D., Ji Youn Kim, M.D., Young Wook Kim, M.D., Hyun Joo Jang, M.D., Sea Hyub Kae, M.D. and Jin Lee, M.D.
Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea
Abstract
Hemosuccus pancreaticus is a rare cause of chronic and intermittent chronic gastrointestinal hemorrhage, and this condition cannot be easily detected by endoscopy. We report here on a 51-year-old woman with obstructive jaundice and a history of acute pancreatitis and chronic alcoholism. Abdominal computed tomography showed a dilated distal common bile duct. We performed endoscopic retrograde cholangiopancreatography to decompress the bile duct and we found a blood clot on the orifice of the ampulla of Vater. Hemobilia with massive bleeding was seen during the examination. Angiography for controlling the hemorrhage showed the pseudoaneurysm of the pancreaticoduodenal artery. Angiographic embolization was successful for controlling the arterial hemorrhage. The patient remained symptom-free and he was discharged without complications. (Korean J Gastrointest Endosc 2009;39:389-392)
Key Words: Hemosuccus pancreaticus, Chronic pancreatitis, Pseudoaneurysm, Jaundice, Hemobilia
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