Hemosuccus Pancreaticus

A 47-year-old man with alcohol-related cirrhosis and chronic pancreatitis presented with hematemesis. Upper endoscopy and colonoscopy demonstrated blood in the proximal small bowel, without active bleeding. The patient was hospitalized for 29 days for obscure gastrointestinal hemorrhage with intermittent episodes of hematemesis and hematochezia, for which 8 upper endoscopies, 3 colonoscopies, and 5 tagged red blood cell scans were performed. An image from final endoscopy performed in the intensive care unit for massive hematemesis demonstrated active bleeding emanating from the ampulla of Vater (Fig  1).
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Images in IR Source Type: research