A CASE REPORT OF HEMOSUCCUS PANCREATICUS DUE TO CHRONIC PANCREATITIS

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  • 慢性膵炎に起因したHemosuccus pancreaticusの1例

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Abstract

A 34-year-old alcholoic man was reffered to our hospital for abdominal pain and hematemesis followed by melena on August 17, 1986. He had undergone laparotomy for acute pancreatitis in Decembar, 1981. Computed tomography in July, 1984, had revealed pancreatic pseudocyst at the pancreas head. Urgent endoscopic examination revealed bleeding through the ampulla of Vater and ERCP showed a small pseudocyst in the pancreas head. Abdominal angiography showed no unusual finding. Hemosuccus pancreaticus due to chronic pancreatitis was suspected. Definitive pancreatoduodenectomy was performed successfully and he had no further gastrointestinal bleeding. Since Sandblom cointed the term “hemosuccus pancreaticus” in his report of 3 cases in 1970, 49 cases (27 of them Japanese) of this rare condition have been reported.<br>Of these 49 cases, 33 (21 of them Japanese) that had pancreatic pseudocysts were reviewed.

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