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- ArticleHesselmann J, Huep WW.Acta Med Austriaca Suppl. 1979;6:389-92.Case report of a fifty-two year old patient with expansive pleural-pericardial effusion and hypoferric anemia caused by intermittent hemorrhage in a pancreatic pseudocyst drained by the d. wirsungianus. Hemorrhage through the d. wirsungianus is a rare cause of gastrointestinal bleeding of "unknown" origin.