Institute of Postgraduate Medical Education and Research, Kolkata, India.
Am J Surg. 2011 Mar;201(3):e23-5. doi: 10.1016/j.amjsurg.2010.03.020.
Splenic infarction is rare in inflammatory diseases of the pancreas, although the spleen and its vessels have an intimate relation with the pancreas. Most reported cases are of focal infarction, and treatment is mostly conservative. The authors report a case of diffuse splenic infarction in a 17-year-old boy with severe acute pancreatitis who presented with massive upper gastrointestinal bleeding and was treated with splenectomy.
脾梗死在胰腺炎症性疾病中较为罕见,尽管脾脏及其血管与胰腺关系密切。大多数报道的病例为局灶性梗死,治疗大多为保守治疗。作者报告了一例 17 岁男性重症急性胰腺炎患者发生弥漫性脾梗死,该患者出现大量上消化道出血,并接受了脾切除术治疗。