Abstract Text A 40-year-old man with liver cirrhosis and chronic pancreatitis was admitted for
necrotizing pancreatitis, presenting with melena and abdominal pain. Initial endoscopy
revealed severe portal gastropathy without varices. Ten days later presented again
melena and hemodynamic instability. Endoscopy revealed intermittent bleeding in the
second portion of the duodenum without visible lesions. Duodenoscopy confirmed the
bleeding origin at the major and minor papilla, suggestive of hemosuccus pancreaticus
(HP). CT scan/angiography showed bleeding from a pancreatic branch of Bühler's arcade
which was embolized with coils. HP is a rare cause of upper gastrointestinal bleeding,
often linked to pancreatitis (80%). Causes include pseudoaneurysms, pseudocysts, neoplasms
or trauma. Diagnosis is challenging due to intermittent bleeding. Endovascular embolization
is the treatment of choice [1]
[2]
[3].
Video http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/c631c358-5208-4c6e-b19b-429f2af3ba2b/Uploads/16849_Hemosuccus_pancreaticus_ESGEdays2025.mp4
