A rare cause of acute abdomen: splenic hematoma and rupture resulting from pancreatitis
Fevzi Cengiz, Savaş Yakan, İlhan Enver
Clinic of 1st General Surgery, İzmir Bozyaka Training Hospital, İzmir, Turkey
Abstract
Splenic subcapsular hematoma and splenic rupture due to pancreatitis is a rare cause of acute abdomen. We report here a case of splenic hematoma and rupture resulting from a newly developing attack of pancreatitis due to drain life of pancreatic pseudocyst which had led to acute renal failure 4 months previously in a 38 year-old woman with chronic pancreatitis due to alcoholism. The patient underwent pancreatic necrosectomy and splenectomy, and was discharged on the 6th postoperative day without complication. We conclude that splenic hematoma, a complication of pancreatitis attack which may require emergency surgical intervention, must be kept in mind in order to make early diagnosis. Considering a possible subsequent attack of pancreatitis and determining follow-up criteria, radical treatment must be planned immediately.
Keywords: Subcapsular splenic hematoma, splenic rupture, pancreatitis, pancreatic pseudocyst
Written informed consent was obtained from patients who participated in this case.
Externally peer-reviewed.
Concept - F.C., S.Y., E.İ.; Design - F.C., S.Y., E.İ.; Data Collection and/or Processing - F.C., S.Y.; Analysis and/or Interpretation - F.C., S.Y.; Writer - F.C.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.