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Upper gastrointestinal endoscopy showed blood-like material effusing from the papilla of Vater. Abdominal ultrasonography disclosed a pseudoaneurysm at the pancreatic body; CT scan showed coeliac dissection with a complicated pseudoaneurysm. Haemosuccus pancreaticus was diagnosed. After oblique coronal and sagittal reformation, the true lumen and dilated pseudoaneurysm of coeliac dissection were clearly shown (fig 1). We believed the aetiology of haemosuccus pancreaticus to …

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