ɪɾ ɪz kˈɔːzd baɪ ɐ blˈiːdɪŋ sˈoːɹs ɪnðə pˈæŋkɹiəs, pˌæŋkɹiːˈæɾɪk dˈʌkt, ɔːɹ stɹˈʌktʃɚz ɐdʒˈeɪsənt tə ðə pˈæŋkɹiəs, sˈʌtʃ ɐz ðə splˈɛnɪk ˈɑːɹɾɚɹi, ðæt blˈiːd ˌɪntʊ ðə pˌæŋkɹiːˈæɾɪk dˈʌkt.
It is caused by a bleeding source in the pancreas, pancreatic duct, or structures adjacent to the pancreas, such as the splenic artery, that bleed into the pancreatic duct.