Acute Necrotizing Pancreatitis Leading to Hemosuccus Pancreaticus and Hemorrhagic Shock in the Setting of Decompensated Cirrhosis
2024

Acute Necrotizing Pancreatitis and Hemosuccus Pancreaticus

Sample size: 1 publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Delly Joseph, Hamamah Sevag, Hai Faizi

Primary Institution: Scripps Mercy Hospital, San Diego, USA

Hypothesis

Can acute necrotizing pancreatitis lead to hemosuccus pancreaticus and hemorrhagic shock in patients with decompensated cirrhosis?

Conclusion

The case highlights the severe complications of acute necrotizing pancreatitis, including hemosuccus pancreaticus, which can lead to hemorrhagic shock and death, especially in patients with cirrhosis.

Supporting Evidence

  • Hemosuccus pancreaticus is a rare cause of upper gastrointestinal bleeding.
  • The patient had a history of alcoholic cirrhosis, which complicated his condition.
  • Endovascular coil embolization was attempted to manage the bleeding.
  • Despite interventions, the patient's condition deteriorated, leading to death.

Takeaway

A man with liver disease had a rare bleeding problem from his pancreas after a severe inflammation, which made him very sick and eventually led to his death.

Methodology

The case study involved imaging techniques like CT angiography and endoscopy to diagnose and manage the patient's condition.

Limitations

The study is based on a single case, limiting the generalizability of the findings.

Participant Demographics

34-year-old male with a history of alcoholic cirrhosis.

Digital Object Identifier (DOI)

10.7759/cureus.75111

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