Endovascular management of hemosuccus pancreaticus, a rare case report of XXXX .

@entity1 @entity788 @entity548 @entity5882 @entity439 @entity360 @entity438
BACKGROUND: @entity548 from the pancreatic duct, or hemosuccus pancreaticus (HP), is an unusual cause of intermittent @entity360 . HP is most often diagnosed in @entity1 with chronic @entity788 , and is usually due to the rupture of an @entity439 in the splenic artery. The traditional treatment for HP is surgery, although most cases can be managed by angioembolization. CASE PRESENTATION: We present a case of HP in a @entity1 with no history or evidence of chronic @entity788 . Repeated endoscopy revealed @entity548 from the papilla of Vater. Angiography revealed an @entity438 , which was the suspected cause of the intermittent @entity548 from the pancreatic duct. Angiography demonstrated extravasation of contrast from the @entity439 . A peripheral Jostent stent-graft was hand-mounted on an angioplasty balloon and then inserted into the @entity439 . Arteriography revealed successful occlusion of the @entity439 with the stent-graft. No recurrent @entity360 was observed during the five years follow-up periods. CONCLUSION: HP should be included in the differential diagnosis of intermittent @entity360 in @entity1 with histories of @entity5882 , even when they do not have a history of chronic @entity788 . We recommend an interventional procedure with a metal stent for the initial treatment of HP.
