{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T09:49:40Z","timestamp":1756460980497,"version":"3.44.0"},"reference-count":23,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,4,26]]},"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>Haemosuccus pancreaticus (HP) is an uncommon cause of upper gastrointestinal (GI) bleeding, most often intermittent, making it difficult to diagnose, becoming fatal. It usually occurs in patients with chronic pancreatitis and is caused by the rupture of a visceral aneurysm within the main pancreatic duct. The association between pseudoaneurysm formation and pancreatitis is well established. Pseudoaneurysm occurs in 3.5%\u201310% of pancreatitis cases and its rupture is a rare but life-threatening complication of chronic pancreatitis occurring in 6%\u20138% of patients with pseudocysts and corresponds to less than 1% of cases of GI bleeding.<\/jats:p>\n               <jats:p>Its diagnosis is challenging, given the intermittent nature of bleeding. Angiographic therapy is considered the first-choice treatment, especially in patients who are stable haemodynamically. We present a case of embolisation of inferior pancreaticoduodenal branches with polyvinyl alcohol microparticles in the treatment of HP.<\/jats:p>","DOI":"10.1136\/bcr-2018-229110","type":"journal-article","created":{"date-parts":[[2019,5,8]],"date-time":"2019-05-08T15:06:47Z","timestamp":1557328007000},"page":"e229110","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Embolisation of branches of the superior mesenteric artery in the treatment of haemosuccus pancreaticus"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8705-7146","authenticated-orcid":false,"given":"Selma Regina de Oliveira","family":"Raymundo","sequence":"first","affiliation":[{"name":"cardiologia e cirugia vascular, Faculdade de Medicina de S\u00e3o Jos\u00e9 do Rio Preto, S\u00e3o Jos\u00e9 do Rio Preto, S\u00e3o Paulo, Brazil"},{"name":"Hospital de Base, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriela Leopoldino","family":"da Silva","sequence":"additional","affiliation":[{"name":"servi\u00e7o de angiologia e cirurgia endovascular, Hospital de Base, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luiz Fernando","family":"Reis","sequence":"additional","affiliation":[{"name":"servi\u00e7o de angiologia e cirurgia endovascular, Hospital de Base, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio Fernandes","family":"Freire","sequence":"additional","affiliation":[{"name":"servi\u00e7o de angiologia e cirurgia endovascular, Hospital de Base, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,5,8]]},"reference":[{"key":"2025082623565125000_12.5.e229110.1","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1097\/00000658-197001000-00009","article-title":"Gastrointestinal hemorrhage through the pancreatic duct","volume":"171","author":"Sandblom","year":"1970","journal-title":"Ann Surg"},{"key":"2025082623565125000_12.5.e229110.2","doi-asserted-by":"publisher","DOI":"10.1053\/crad.2002.1063"},{"key":"2025082623565125000_12.5.e229110.3","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-001-0041-8"},{"key":"2025082623565125000_12.5.e229110.4","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1016\/j.radcr.2018.03.005","article-title":"Hemosuccus pancreaticus successful treatment by double balloon-assisted coil embolization for active bleeding from the main trunk of the superior mesenteric artery","volume":"13","author":"Yoshida","year":"2018","journal-title":"Radiol Case Rep"},{"key":"2025082623565125000_12.5.e229110.5","first-page":"61","article-title":"Hemosuccus pancreaticus due to rupture of a gastroduodenal artery pseudoaneurysm","volume":"43","author":"Kurmar","year":"2007","journal-title":"Hosp Physician"},{"key":"2025082623565125000_12.5.e229110.6","first-page":"887","article-title":"Haemorrhage into the pancreatic duct (Hemosuccus pancreaticus): recognition and management","volume":"161","author":"Suter","year":"1995","journal-title":"Eur J Surg"},{"key":"2025082623565125000_12.5.e229110.7","doi-asserted-by":"crossref","unstructured":"Rammohan A , Palaniappan R , Ramaswami S , et al . 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