Haemosuccus pancreaticus due to mucinous cystadenocarcinoma: the significance of recurrent abdominal pain, hyperamylasaemia and a pancreatic cyst in association with recurrent gastrointestinal bleeding

A J Macleod; D M Nichols; A Munro; J L Duncan; T J Palmer

Haemosuccus pancreaticus due to mucinous cystadenocarcinoma: the significance of recurrent abdominal pain, hyperamylasaemia and a pancreatic cyst in association with recurrent gastrointestinal bleeding

J R Coll Surg Edinb. 1999 Aug;44(4):274-6.

Authors

A J Macleod¹, D M Nichols, A Munro, J L Duncan, T J Palmer

Affiliation

¹ Department of Radiology, Raigmore Hospital, Inverness, Scotland.

PMID: 10453154

Abstract

Haemosuccus pancreaticus is a rare cause of gastrointestinal haemorrhage, and when it presents in otherwise healthy people, can prove difficult to diagnose. The cardinal features are episodic epigastric pain associated with a raised serum amylase and the passage of melaena. Failure to make the connection between recurrent gastrointestinal bleeding and apparently unrelated symptoms attributable to pancreatitis may lead to a significant delay in diagnosis.

Publication types

Case Reports

MeSH terms

Adenocarcinoma, Mucinous / complications*
Adenocarcinoma, Mucinous / pathology
Amylases / blood
Aneurysm, False / complications*
Aneurysm, False / diagnosis
Diagnostic Errors
Female
Gastrointestinal Hemorrhage / etiology*
Humans
Middle Aged
Pancreatic Neoplasms / complications*
Pancreatic Neoplasms / pathology
Pancreatic Pseudocyst / etiology*
Recurrence
Splenic Artery* / diagnostic imaging
Splenic Artery* / pathology
Tomography, X-Ray Computed

Substances

Amylases