Haemorrhage into the pancreatic duct (Hemosuccus pancreaticus): recognition and management.
Details
Serval ID
serval:BIB_5B35E0C3F448
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Haemorrhage into the pancreatic duct (Hemosuccus pancreaticus): recognition and management.
Journal
European Journal of Surgery = Acta Chirurgica
ISSN
1102-4151 (Print)
ISSN-L
1102-4151
Publication state
Published
Issued date
1995
Peer-reviewed
Oui
Volume
161
Number
12
Pages
887-892
Language
english
Notes
Publication types: Case Reports ; Journal Article
Abstract
OBJECTIVE: To highlight the clinical presentation, investigation and treatment of haemorrhage into the pancreatic duct.
DESIGN: Retrospective study and review of publications.
SETTING: University hospital, Switzerland.
SUBJECTS: All 4 cases from 1972 to 1993.
INTERVENTIONS: 2 Whipple procedures, 1 resection of the pancreatic head, 1 exploratory laparotomy. Radiological embolisation in one case.
MAIN OUTCOME MEASURES: Cessation of haemorrhage and survival.
RESULTS: The diagnosis was made preoperatively in three cases by gastroduodenoscopy and arteriography. Operation was the primary treatment in all patients and was effective with low morbidity and no mortality in three of them. Embolisation stopped the haemorrhage in the fourth patient, who was alcoholic and died of progressive liver insufficiency and variceal haemorrhage.
CONCLUSIONS: There is no specific indication for haemorrhage into the pancreatic duct. The diagnosis is suggested by endoscopy (absence of a more common cause, or blood in the second part of the duodenum). Arteriography is essential to confirm the site of the bleeding and to attempt embolization. Operation is usually the definitive treatment.
DESIGN: Retrospective study and review of publications.
SETTING: University hospital, Switzerland.
SUBJECTS: All 4 cases from 1972 to 1993.
INTERVENTIONS: 2 Whipple procedures, 1 resection of the pancreatic head, 1 exploratory laparotomy. Radiological embolisation in one case.
MAIN OUTCOME MEASURES: Cessation of haemorrhage and survival.
RESULTS: The diagnosis was made preoperatively in three cases by gastroduodenoscopy and arteriography. Operation was the primary treatment in all patients and was effective with low morbidity and no mortality in three of them. Embolisation stopped the haemorrhage in the fourth patient, who was alcoholic and died of progressive liver insufficiency and variceal haemorrhage.
CONCLUSIONS: There is no specific indication for haemorrhage into the pancreatic duct. The diagnosis is suggested by endoscopy (absence of a more common cause, or blood in the second part of the duodenum). Arteriography is essential to confirm the site of the bleeding and to attempt embolization. Operation is usually the definitive treatment.
Keywords
Adult, Aged, Embolization, Therapeutic, Fatal Outcome, Gastrointestinal Hemorrhage/complications, Gastrointestinal Hemorrhage/diagnosis, Humans, Male, Middle Aged, Pancreatic Ducts, Pancreatitis/complications, Retrospective Studies, Treatment Outcome
Pubmed
Web of science
Create date
18/10/2014 15:51
Last modification date
20/08/2019 15:14
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