Display options
Cite
Hernani BL, Silva PC, Nishio RT, et al. Acute pancreatitis complicated with splenic rupture: A case report. World J Gastrointest Surg. 2015;7(9):219-22doi: 10.4240/wjgs.v7.i9.219.
Hernani, B. L., Silva, P. C., Nishio, R. T., Mateus, H. C., Assef, J. C., & De Campos, T. (2015). Acute pancreatitis complicated with splenic rupture: A case report. World journal of gastrointestinal surgery, 7(9), 219-22. https://doi.org/10.4240/wjgs.v7.i9.219
Hernani, Bruno L, et al. "Acute pancreatitis complicated with splenic rupture: A case report." World journal of gastrointestinal surgery vol. 7,9 (2015): 219-22. doi: https://doi.org/10.4240/wjgs.v7.i9.219
Hernani BL, Silva PC, Nishio RT, Mateus HC, Assef JC, De Campos T. Acute pancreatitis complicated with splenic rupture: A case report. World J Gastrointest Surg. 2015 Sep 27;7(9):219-22. doi: 10.4240/wjgs.v7.i9.219. PMID: 26425272; PMCID: PMC4582241.
Copy Download .nbib Format: NLM
Share it on

World J Gastrointest Surg. 2015 Sep 27;7(9):219-22. doi: 10.4240/wjgs.v7.i9.219.

Acute pancreatitis complicated with splenic rupture: A case report.

World journal of gastrointestinal surgery

Bruno L Hernani, Pedro C Silva, Ricardo T Nishio, Henrique C Mateus, José C Assef, Tercio De Campos

Affiliations

  1. Bruno L Hernani, Pedro C Silva, Ricardo T Nishio, Irmandade da Santa Casa de Misericórdia de São Paulo Hospital, Santa Casa School of Medicine, São Paulo 01221-020, Brazil.

PMID: 26425272 PMCID: PMC4582241 DOI: 10.4240/wjgs.v7.i9.219

Abstract

Atraumatic splenic rupture is an uncommon complication of acute pancreatitis. This report describes the case of a 30-year-old man with acute pancreatitis and splenic vein thrombosis complicated by splenic rupture. The patient was admitted to the emergency department with pain in the upper abdomen that had been present for six hours and was associated with vomiting and sweating. He was diagnosed with acute pancreatitis of alcoholic etiology. Upon computed tomography (CT) of the abdomen, the pancreatitis was scored as Balthazar C grade, and a suspicious area of necrosis affecting 30% of the pancreas with splenic vein thrombosis was revealed. Seventy-two hours after admission, the patient had significant improvement in symptoms. However, he showed clinical worsening on the sixth day of hospitalization, with increasing abdominal distension and reduced hemoglobin levels. A CT angiography showed a large amount of free fluid in the abdominal cavity, along with a large splenic hematoma and contrast extravasation along the spleen artery. The patient subsequently underwent laparotomy, which showed hemoperitoneum due to rupture of the splenic parenchyma. A splenectomy was then performed, followed by ultrasound-guided percutaneous drainage.

Keywords: Acute pancreatitis; Pancreatitis; Rupture; Splenic rupture; Spontaneous

References

  1. Scand J Surg. 2005;94(2):130-4 - PubMed
  2. Gastroenterology. 1990 Feb;98(2):509-16 - PubMed
  3. Pancreas. 2001 Jul;23(1):20-5 - PubMed
  4. JOP. 2011 May 06;12 (3):287-91 - PubMed
  5. J Chin Med Assoc. 2008 Feb;71(2):92-5 - PubMed
  6. Br J Surg. 1996 May;83(5):632 - PubMed
  7. J Comput Assist Tomogr. 2001 Jan-Feb;25(1):50-4 - PubMed
  8. Case Rep Gastroenterol. 2011 Apr 13;5(1):179-82 - PubMed
  9. Trop Gastroenterol. 2010 Apr-Jun;31(2):123-4 - PubMed
  10. Br J Surg. 2009 Oct;96(10):1114-21 - PubMed

Publication Types