Management of bleeding from the pancreas

Abstract

Acute hemorrhage originating from the pancreas is the least common form of gastrointestinal bleeding. Patients typically present with a triad of epigastric abdominal pain, intermittent gastrointestinal hemorrhage, and hyperamylasemia. Diagnosis is challenging but can be made through a combination of upper endoscopy, endoscopic retrogradge cholangiopancreatography, endoscopic ultrasound, computed tomography angiography, and angiography. First line treatment in stable patients is endovascular. In unstable patients, operative intervention is required.