Hemosuccus pancreaticus

Background

Gastrointestinal bleeding in children has diverse etiologies.

Case characteristics

Two children (age 3y and 7y) with recurrent gastrointestinal bleeding. Computed tomography demonstrated features of chronic pancreatitis but no vessel abnormality. Conventional angiography revealed bleeding from gastroduodenal artery in both cases.

Outcome

Coil embolization of gastroduodenal vessels was performed, and there was no recurrence of bleeding.

Message

Hemosuccus pancreaticus is to be considered in children with chronic pancreatitis presenting with recurrent gastrointestinal bleeding and conventional angiography with coil embolization is helpful.