Cigüenza R, Calvo E, Alvarez-Sala J L, Massa B, Fernández S, Espinós D
Servicio de Medicina Interna I, Hospital Universitario San Carlos, Universidad Complutense, Madrid.
Rev Esp Enferm Dig. 1992 May;81(5):363-5.
The appearing of splenic complications in the evolution of acute or chronic pancreatitis is a known fact, even though it is not that frequent. A case of splenic rupture happens during an acute bout of chronic pancreatitis. The possible pathogenic mechanisms implied are analysed as well as the forms of presentation and the approximation to diagnosis. The great difficulty in the diagnosis is determined by the scarce specificity of the clinical and biochemical manifestations. Therefore, it is called the attention upon the eventuality of this complication and the therapeutic attitudes which should be adopted.
在急性或慢性胰腺炎病程中出现脾脏并发症是一个已知事实,尽管其并不常见。有一例脾破裂发生在慢性胰腺炎急性发作期间。文中分析了可能涉及的致病机制、临床表现形式及诊断方法。临床和生化表现缺乏特异性决定了诊断存在很大困难。因此,提请注意该并发症的可能性以及应采取的治疗态度。