Evidence map›Paper›PMID 35045737›Full record

ReviewJournal of investigative medicine high impact case reports

Hemosuccus Pancreaticus: A Comprehensive Review of Presentation Patterns, Diagnostic Approaches, Therapeutic Strategies, and Clinical Outcomes.

Zahid Ijaz Tarar, Hasan Azeem Khan, Faisal Inayat, Muhammad Hassan Naeem Goraya, Mohsin Raza, Faisal Ibrahim, Zahra Akhtar, Adnan Malik, Ryan M Davis

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in Journal of investigative medicine high impact case reports. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
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  10. Turkish Society of Gastroenterology: Pancreas Working Group, Acute Pancreatitis Committee Consensus Report.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2024
    Review
  11. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Zahid Ijaz TararUniversity of Missouri School of Medicine, Columbia, MO, USA.
Hasan Azeem KhanAllama Iqbal Medical College, Lahore, Pakistan.
Faisal InayatAllama Iqbal Medical College, Lahore, Pakistan.ORCID 0000-0001-7576-7319
Muhammad Hassan Naeem GorayaAllama Iqbal Medical College, Lahore, Pakistan.
Mohsin RazaAllama Iqbal Medical College, Lahore, Pakistan.
Faisal IbrahimUniversity of Missouri Health Care, Columbia, USA.
Zahra AkhtarAllama Iqbal Medical College, Lahore, Pakistan.
Adnan MalikLoyola University Medical Center, Maywood, IL, USA.
Ryan M DavisUniversity of Missouri School of Medicine, Columbia, MO, USA.
Allama Iqbal Medical College · PKUniversity of Missouri · USLoyola University Medical Center · USUniversity of Missouri Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hemosuccus pancreaticus is a rare but potentially torrential and life-threatening cause of acute upper gastrointestinal bleeding. It is described as an intermittent hemorrhage from the major duodenal papilla via the main pancreatic duct. Peripancreatic pseudoaneurysm following chronic pancreatitis is a common underlying etiology. However, gastroduodenal artery pseudoaneurysm-related hemosuccus pancreaticus remains exceedingly rare in the etiological spectrum of upper gastrointestinal bleeding. We hereby delineate a rare case of hemosuccus pancreaticus associated with gastroduodenal artery pseudoaneurysm in a patient who initially presented with abdominal pain and hematochezia. He was successfully managed with coil embolization without recurrence or sequelae. Furthermore, we conducted a search of the MEDLINE (PubMed and Ovid) database for relevant studies on hemosuccus pancreaticus published between inception and September 15, 2021. The available clinical evidence on causes, presentation patterns, diagnosis, and management was analyzed and summarized. This article highlights the rarity, the intermittent nature of hemorrhage, and the lack of a standardized diagnostic approach for this elusive disease. Clinicians should remain cognizant of hemosuccus pancreaticus, especially in patients presenting with symptoms and signs of intermittent gastrointestinal bleeding and abdominal pain. Prompt diagnosis carries paramount importance in saving patients from repeat hospital admissions and disease-associated morbidity and mortality. Conventional angiography with coil embolization may constitute an effective treatment strategy.

Indexed as

Ampulla of VaterAneurysm, FalsePancreatitis, ChronicGastrointestinal HemorrhageHumansMalePancreatic Ductsangiographic embolizationchronic pancreatitisCT angiographygastroduodenal artery pseudoaneurysmhemosuccus pancreaticusupper gastrointestinal bleeding

Identifiers

PMID35045737
PMCPMC8796068
OpenAlexW4205444346

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.