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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
HEMOSUCCUS PANCREATITIS: A RARE CAUSE OF CHRONIC – ANAEMIA
Author
Vaishnavi Raman, Pradeep M. Venkategowda*, Ashwini Murthy, Sandeep Mysore Setharamu
Email
drpradeepmarur@gmail.com
keyword
Malena, Pancreatitis, Embolisation, Aneurysm.
Abstract
Hemosuccus pancreatitis (HP) or Pseudohemobilia is diagnosed when there is hemorrhage from the pancreatic duct. It is most often associated with a pre-existing pancreatic disease process. In this case report we describe a patient with history of chronic pancreatitis who presented with malena since 3 months. After careful evaluation and hematologic workup showed anemia and normal coagulation profile. Upper GI endoscopy revealed blood clots at the Ampula of Vater. CT abdomen and CT Angiogram suggested chronic calcifying pancreatitis with splenic artery pseudoaneurysm communicating with the main pancreatic duct. He was diagnosed to have HP and managed with embolisation and blood transfusions. He showed a steady recovery and was discharged after four days of hospitalization. It is relevant to consider HP in patients with a history of malena and normal endoscopic findings.
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