Hemosuccus paucreaticus - A rare cause of gastrointestinal bleeding: Diagnosis and interventional radiological therapy

Hemorrhage from the pancreatic duct, i.e. hemosuccus pancreaticus (HP), is a rare cause of gastrointestinal bleeding, Pancreatic hemosuccus is usually due to the rupture of an aneurysm of a visceral artery, most likely the sp lenic artery, in chronic pancreatitis. Other causes of lip are rare. We pre sent a case of HP in a female patient with no history but with positive fin dings of chronic calcifying pancreatitis upon ultrasonographic investigatio n, computed tomography scan, and endoscopic retrograde cholangiopancreatogr aphy. With detectable fresh blood in the descending duodenum, angiography o f the celiac artery revealed an aneurysm of the splenic artery as the suspe cted cause of intermittent bleeding from the pancreatic duct. The treatment is traditionally surgical or by interventional radiological means. This is the first case described in the literature in which interventional radiolo gical therapy involved implantation of an uncoated metal Palmaz stent in th e splenic artery. In the follow-up of 18 months no relapse of MP was observ ed.