Hemosuccus pancreaticus in a heterotopic jejunal pancreas

Heterotopic pancreas is a congenital anomaly defined as pancreatic tissue o ccurring outside its normal anatomical location, lacking both anatomic and vascular connections. Ninety percent of heterotopic pancreas is found in th e upper part of the gastrointestinal tract. Symptoms, when present, are nor mally non-specific and include abdominal pain, nausea, vomiting and bleedin g. However, aberrant pancreas is not often recognized as patients are usual ly symptom-free. We report on a 29 year-old man with acute and severe gastrointestinal hemor rhage through the duct of an aberrant pancreas located in the upper jejunum , without clinical or histological evidence of pancreatic inflammation. We believe that our case is the first description of a pancreatic ductal hemor rhage in an aberrant pancreas.