J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 523KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 89(1): 128-132, 1988

Case report

A CASE REPORT OF HEMOSUCCUS PANCREATICUS CAUSED BY RUPTURED SPLENIC ANEURYSM

Department of Surgery, Hamamatsu Red Cross Hospital, Hamamatsu, Japan
*) Second Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan

Takahiro Matsumoto, Masao Sumiyama, Hiroya Fukami, Shukichi Sakaguchi*)

A 65-year-old female with hematemesis due to hemosuccus pancreaticus observed by endoscopy was reported. Selective angiography demonstrated 4 aneurysms of the splenic artery ramificated from the superior mesenteric artery (SMA). Of these 4 aneurysms, the largest one was located at 5mm distal from the SMA ruptured into the pancreatic duct. Resection of the splenic aneurysms, splenectomy and cholecystectomy for concomitant gallstone were successfully performed and the patient had no futher gastrointestinal bleeding. True aneurysms with marked arteriosclerosis were confirmed histopathologically.
Of 48 cases of hemosuccus pancreaticus reported in the literature, 15 cases caused by ruptured true aneurysms were reviewed. Pathogenesis, diagnosis and surgical procedure for this rare syndrome were discussed.

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