McMahon N G, Norwood S H, Silva J S
Department of Surgery, USAF Medical Center Keesler, Keesler AFB, MS 39534-5300.
South Med J. 1988 Jul;81(7):910-2. doi: 10.1097/00007611-198807000-00025.
We have presented a case of chronic pancreatitis with pseudocyst involvement of the spleen complicated by splenic rupture. This complication is uncommon, only 19 cases having been reported. As illustrated by our case, there is a high risk of hemorrhage from a pseudocyst involving the spleen and pancreas. Immediate surgical intervention is therefore indicated. The treatment of choice is resection by splenectomy and distal pancreatectomy.
我们报告了一例慢性胰腺炎合并脾脏假性囊肿并伴有脾破裂的病例。这种并发症并不常见,仅报告过19例。如我们的病例所示,涉及脾脏和胰腺的假性囊肿有很高的出血风险。因此,需要立即进行手术干预。首选的治疗方法是通过脾切除术和胰体尾切除术进行切除。