Pseudo to pseudo connection: pseudoaneurysm draining into the pseudocyst causing pseudohaemobillia.
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ID: 72441
2019
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Abstract
Haemosuccus pancreaticus (HP) is an exceedingly rare cause of lower gastrointestinal (GI) bleed where pseudoaneurysm of the peripancreatic vessels ruptures into a pancreatic pseudocyst and blood travel through the pancreatic duct, thereby, draining into GI tract via the ampulla of Vater. We present a case of 65-year-old African-American woman with a history of alcohol abuse presented with melena for 1 day. The contrast-enhanced CT of abdomen/pelvis showed peripancreatic vascular pseudoaneurysm with active haemorrhage. Angiography confirmed the diagnosis of HP and successful transcatheter embolisation was performed.
| Reference Key |
ullah2019pseudobmj
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| Authors | Ullah, Waqas;Hamid, Mohsin;Sarwar, Usman;Mehmood, Asif; |
| Journal | bmj case reports |
| Year | 2019 |
| DOI |
e228441
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| URL | |
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