"Radionuclide 99m-Tc red blood cell scintigraphy is of low diagnostic yield 1."
"Haemosuccus pancreaticus, also known as pseudohaemobilia or haemoductal pancreatitis, is a rare cause of GI bleeding, due to blood originating from the pancreatic duct into the duodenum via the ampulla of Vater, or major pancreatic papilla."
"iatrogenic: complication of biopsy/FNA, pancreatic duct stenting, ERCP, bariatric surgery 9"
"iatrogenic: complication of biopsy/FNA, pancreatic duct stenting, ERCP, bariatric surgery 9"
"ERCP"
"If employed at the time of active bleeding, ERCP can afford direct visualisation of blood seeping through the papilla by means of using a side-viewing endoscope (duodenoscope)."
Expected headings
"ERCP"
"Angiography"
"The most common aetiology is pseudoaneurysm rupture of the splenic (60-65%)1, gastroduodenal or pancreaticoduodenal artery. Pseudoaneurysm formation is most commonly secondary to chronic pancreatitis and occurs in 10% of this population."
"angiography, with or without coil embolisation 4,6"
"surgical debridement and ligation 3: in severe cases, with or without pancreaticoduodenectomy 5"