Gurudath Gundurao Sreekantamurthy, Mohammad Juned Khan, Thangavelu Sethuraman Ramesh Kumar, Palanisamy Senthilnathan, Chinnasamy Palanivelu, Sreekanth Basavaraju, Sharath Kote Gowdra Shivamurthy, Santhosh Palve, Suganya Dhinakaran, Nityanand Sharma, Piyush Pradeeprao Marudwar
A fifteen-year-old male patient, known case of chronic pancreatitis diagnosed as obscure gastrointestinal bleed in previous admission, readmitted for melena and upper abdominal pain since 2 days. Blood investigations revealed severe anemia with acute on chronic pancreatitis. Upper Gastro-Intestinal endoscopy revealed altered bood in stomach, adherent blood clot in ampulla. Thorough saline wash removed the clot, and blood stained bile flow was seen. This suspected the presence of hemosuccus pancreaticus, and proceeded with computed tomography abdomen. Computed tomography abdomen revealed presence of pseudoaneurysm in ventral division of inferior pancreaticoduodenal artery. Selective angiography confirmed the finding and coil angioembolization was done. No rebleeding during hospital stay.
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