Patel Vijaykumar G, Eltayeb Osama M, Zakaria Majed, Fortson James K, Weaver William L
Department of Surgery, Morehouse School of Medicine, Atlanta, Georgia 30310, USA.
Am Surg. 2005 Dec;71(12):1066-9.
Subcapsular hematoma of the spleen is a rare complication of pancreatitis despite its close proximity to the pancreas. Pancreatic pseudocyst involving the tail of the pancreas may erode into the splenic hilum causing hilar vessel bleeding with subcapsular dissection and hematoma formation. The management of such complication is still controversial. It has been suggested that most of these complications spontaneously regress and therefore can be managed conservatively. A case of spontaneous splenic subcapsular hematoma resulting from pancreatitis was managed conservatively with a good outcome.
脾包膜下血肿是胰腺炎的一种罕见并发症，尽管脾脏与胰腺位置相邻。累及胰尾的胰腺假性囊肿可能侵蚀脾门，导致脾门血管出血，并伴有包膜下剥离和血肿形成。对此类并发症的处理仍存在争议。有人提出，这些并发症大多会自行消退，因此可以保守治疗。一例由胰腺炎引起的自发性脾包膜下血肿经保守治疗取得了良好效果。
