Evidence map›Paper›PMID 41822719›Full record

ArticleFrontiers in gastroenterology (Lausanne, Switzerland)2024

A case report of hemosuccus pancreaticus: the cause of upper gastrointestinal bleeding demystified after 9 months of episodic bleeding.

Marie Solange Mukanumviye, Dyna Nyampinga, Zainab Ingabire, Cedric Kwitonda, Felicien Shikama, Eric Rutaganda, Berhane Redae, Hanna Aberra, Marcellin Musabende, Peter Crook and 3 more

Abstract readCase Reports
In one paragraph

Article in Frontiers in gastroenterology (Lausanne, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

13 authors.

Marie Solange MukanumviyeFellowship in Gastroenterology & Hepatology, King Faisal Hospital, University of Rwanda, Kigali, Rwanda.
Dyna NyampingaFellowship in Gastroenterology & Hepatology, King Faisal Hospital, University of Rwanda, Kigali, Rwanda.
Zainab IngabireFellowship in Gastroenterology & Hepatology, King Faisal Hospital, University of Rwanda, Kigali, Rwanda.
Cedric KwitondaFellowship in Gastroenterology & Hepatology, King Faisal Hospital, University of Rwanda, Kigali, Rwanda.
Felicien ShikamaFellowship in Gastroenterology & Hepatology, King Faisal Hospital, University of Rwanda, Kigali, Rwanda.
Eric RutagandaHead of Endoscopy Unit, Department of Internal Medicine, Kigali University Teaching Hospital, Kigali, Rwanda.
Berhane RedaeDepartment of Gastroenterology, College of Medicine and Health Sciences, King Faisal Hospital, University of Rwanda, Kigali, Rwanda.
Hanna AberraDepartment of Gastroenterology, College of Medicine and Health Sciences, King Faisal Hospital, University of Rwanda, Kigali, Rwanda.
Marcellin MusabendeDepartment of Internal Medicine, Butare University Teaching Hospital, Kigali, Rwanda.
Peter CrookVisiting Faculty/King Faisal Hospital, Institute for Infection & Immunity, St George's, University of London, London, United Kingdom.
Jean de Dieu MbanzabugaboRadiology, University of Rwanda, Kigali, Rwanda.
Ferehiwot Bekele GetanehDepartment of Radiology, King Faisal Hospital, Kigali, Rwanda.
Jean Jacques NshizirunguDepartment of Radiology, King Faisal Hospital, Kigali, Rwanda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hemosuccus pancreaticus is a rare but potentially fatal cause of upper gastrointestinal (GI) bleeding. It is defined as bleeding from the pancreatic duct with blood draining into the duodenum through the ampulla of Vater. In patients with pancreatitis, peri-pancreatic blood vessels may be inflamed by pancreatic enzymes and form a pseudoaneurysm which can rupture and bleed into the pancreatic duct. We report a case of a 43-year-old man who presented with episodic upper GI bleeding of unclear etiology over 9 months without a clear documented history of pancreatitis. The etiology remained elusive even after multiple upper and lower endoscopies. Computed tomography angiography of the abdomen and pelvis during an acute episode detected a pseudoaneurysm of the gastroduodenal artery (GDA) with contrast extravasation into the dilated pancreatic duct. The pseudoaneurysm was treated with coil embolization, resulting in a persisting resolution of the patient's symptoms. Clinicians should consider abdominal angiography when diagnosing obscure GI bleeding.

Indexed as

case reportgastroduodenal artery pseudoaneurysmhemosuccus pancreaticuspancreatitisRwanda

Identifiers

PMID41822719
PMCPMC12952334

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.