Haemosuccus pancreaticus caused by calcified stone eroding into the splenic vein

Haemosuccus pancreaticus is defined by a bleed from the papilla of Vater via the pancreatic duct. It is a rare cause of upper gastrointestinal bleeding, usually associated with chronic pancreatitis leading to the formation of pseudoaneurysms of the hepatic, gastroduodenal or pancreaticoduodenal arteries. Less commonly reported are cases of pancreaticolithiasis, pancreatic tumours, trauma, infections or pancreatic divisum. Patients typically present with intermittent and repetitive epigastric pain and upper gastrointestinal bleeding, which is often not severe enough to cause haemodynamic instability despite its usual arterial origin. In our case, however, this appears to be of a venous origin.