Blood in the T-tube as a side effect of hemosuccus pancreaticus

Abstract

This study examined a 60-year-old female patient with chronic pancreatitis and hemosuccus pancreaticus (HP), who was once misdiagnosed with biliary bleeding because of choledocholithiasis and T-tube drainage. Bleeding from the T-tube was demonstrated as a side effect of HP. The difficulty in diagnosing this case was attributed to the absence of pseudocysts or obvious aneurysms on CT images. Conclusively, for patients with indirect signs of biliary bleeding, such as bleeding from a T-tube, the possibility of the symptoms being side effects of pancreatic bleeding should be considered.

Keywords: Angiography; Chronic pancreatitis; ERCP; Hemosuccus pancreaticus; Splenic artery; T-tube bleeding.