{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:05:33Z","timestamp":1785402333340,"version":"3.56.0"},"reference-count":11,"publisher":"Department of Medicine, Warren Alpert Medical School at Brown University","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Hemosuccus pancreaticus (HP) is a rare yet critical cause of upper gastrointestinal bleeding, often challenging to diagnose due to its intermittent presentation. We present a complex case of HP in a 63-year-old woman with hematemesis and melena caused by dual pseudoaneurysms in the gastroduodenal and inferior pancreaticoduodenal arteries. Contrast-enhanced computed tomography (CT) and upper GI endoscopy confirmed active bleeding from the ampulla of Vater. Successful management was achieved with retrograde coil embolization. This case highlights the diagnostic and therapeutic challenges in HP and emphasizes the necessity of a multidisciplinary approach for managing dual pseudoaneurysms in this uncommon presentation.<\/jats:p>","DOI":"10.56305\/001c.157874","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T16:51:31Z","timestamp":1775062291000},"source":"Crossref","is-referenced-by-count":0,"title":["Complex Hemosuccus Pancreaticus from Dual Pseudoaneurysms: A Rare Case of Gastroduodenal and Inferior Pancreaticoduodenal Artery Involvement"],"prefix":"10.56305","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6938-6672","authenticated-orcid":true,"given":"Sushrut","family":"Ingawale","sequence":"first","affiliation":[{"name":"Quinnipiac University - Frank H Netter, MD School of Medicine \/St. Vincent's Medical Center","department":["Department of Internal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pujitha","family":"Vallivedu Chennakesavulu","sequence":"additional","affiliation":[{"name":"Quinnipiac University Frank H. Netter, MD, School of Medicine \/ St. Vincent's Medical Center","department":["Department of Internal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vineet","family":"Chandak","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03vcw1x21","id-type":"ROR","asserted-by":"publisher"}],"name":"King Edward Memorial Hospital and Seth G.S. Medical College","department":["Division of General Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariam","family":"Farhan","sequence":"additional","affiliation":[{"name":"Quinnipiac University Frank H. Netter, MD, School of Medicine \/ St. Vincent's Medical Center","department":["Department of Internal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prabin","family":"Sharma","sequence":"additional","affiliation":[{"name":"Quinnipiac University Frank H. Netter, MD, School of Medicine \/ St. Vincent's Medical Center","department":["Division of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"35509","published-online":{"date-parts":[[2026,4,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.5402\/2013\/191794","article-title":"Hemosuccus Pancreaticus: 15-Year Experience from a Tertiary Care GI Bleed Centre","volume":"2013","author":"A. Rammohan","year":"2013","journal-title":"ISRN Radiology"},{"issue":"10S","key":"ref2","doi-asserted-by":"publisher","first-page":"S1767","DOI":"10.14309\/01.ajg.0001039368.13936.cc","article-title":"S2500 Pancreatic Pseudoaneurysm-Induced HemosuccusPancreaticus: Successful Multidisciplinary Intervention","volume":"119","author":"S. Ingawale","year":"2024","journal-title":"Am J Gastroenterol"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.14740\/gr596w","article-title":"Hemosuccus Pancreaticus: A Mysterious Cause of Gastrointestinal Bleeding","author":"Mandaliya","year":"2014","journal-title":"Gastroenterology Research"},{"issue":"8","key":"ref4","doi-asserted-by":"publisher","first-page":"2101","DOI":"10.1111\/jgh.15404","article-title":"Hemosuccus Pancreaticus: A systematic approach","volume":"36","author":"H. S. Yashavanth","year":"2021","journal-title":"J Gastroenterol Hepatol"},{"issue":"2","key":"ref5","doi-asserted-by":"publisher","first-page":"e01271","DOI":"10.14309\/crj.0000000000001271","article-title":"Endoscopic Ultrasound-Guided Glue Embolization for Left Gastric Artery Pseudoaneurysm Presenting as Hemosuccus Pancreaticus After Failed Radiological Intervention","volume":"11","author":"P. Rai","year":"2024","journal-title":"ACG Case Rep J"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1055\/a-2364-4462","article-title":"Hemosuccus pancreaticus \u2013 Multidisciplinary therapy for a splenic artery aneurysm, ruptured into the pancreatic duct","author":"M. Walensi","year":"2024","journal-title":"Z Gastroenterol"},{"issue":"3","key":"ref7","first-page":"335","article-title":"Gastroduodenal and pancreaticoduodenal artery aneurysms: a complication of pancreatitis causing spontaneous gastrointestinal hemorrhage","volume":"88","author":"F. E. Eckhauser","year":"1980","journal-title":"Surgery"},{"issue":"4","key":"ref8","doi-asserted-by":"publisher","first-page":"992","DOI":"10.2214\/AJR.06.0794","article-title":"Splenic Artery Aneurysms and Pseudoaneurysms: Clinical Distinctions and CT Appearances","volume":"188","author":"G. A. Agrawal","year":"2007","journal-title":"American Journal of Roentgenology"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"232470962110703","DOI":"10.1177\/23247096211070388","article-title":"Hemosuccus Pancreaticus: A Comprehensive Review of Presentation Patterns, Diagnostic Approaches, Therapeutic Strategies, and Clinical Outcomes","volume":"10","author":"Z. I. Tarar","year":"2022","journal-title":"Journal of Investigative Medicine High Impact Case Reports"},{"issue":"5","key":"ref10","doi-asserted-by":"publisher","first-page":"003337","DOI":"10.12890\/2022_003337","article-title":"Hemosuccus Pancreaticus: Challenging Diagnosis and Treatment","volume":"9","author":"N. 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Lermite","year":"2007","journal-title":"Pancreas"}],"container-title":["Journal of Brown Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bhm.scholasticahq.com\/article\/157874-complex-hemosuccus-pancreaticus-from-dual-pseudoaneurysms-a-rare-case-of-gastroduodenal-and-inferior-pancreaticoduodenal-artery-involvement","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T16:51:32Z","timestamp":1775062292000},"score":1,"resource":{"primary":{"URL":"https:\/\/bhm.scholasticahq.com\/article\/157874-complex-hemosuccus-pancreaticus-from-dual-pseudoaneurysms-a-rare-case-of-gastroduodenal-and-inferior-pancreaticoduodenal-artery-involvement"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,1]]},"references-count":11,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.56305\/001c.157874","relation":{},"ISSN":["2994-5593"],"issn-type":[{"value":"2994-5593","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,1]]}}}