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Hemosuccus pancreaticus: diagnosis with CT and MRI and treatment with transcatheter embolization
Authors:J Koizumi  S Inoue  H Yonekawa  T Kunieda
Institution:(1) Department of Radiology, Ise Keio Hospital, 2-7-28 Tokiwa, Ise-city, Mie-prefecture 516-0041, Japan, JP;(2) Department of Surgery, Ise Keio Hospital, 2-7-28 Tokiwa, Ise-city, Mie-prefecture 516-0041, Japan, JP;(3) Department of Internal Medicine, Ise Keio Hospital, 2-7-28 Tokiwa, Ise-city, Mie-prefecture 516-0041, Japan, JP
Abstract:We report the case of a 56-year-old woman with a presyncopal episode followed by melena. A sentinel clot sign in the pancreatic duct on precontrast computed tomography and the presence of a splenic artery aneurysm on postcontrast computed tomography strongly suggested a fistula between the aneurysm and the duct, as visualized by magnetic resonance imaging. The patient was treated successfully by complete embolization of the splenic artery aneurysm. Received: 25 January 2000/Accepted: 21 February 2001
Keywords:: Hemosuccus pancreaticus  splenic artery—  Pancreas duct—  Fistula  CT  MRI  embolization  
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