Dhakal Prakash, Sharma Suraj, Kandel Devraj, Aryal Sajiva, Bhandari Seema
Department of Radiology, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.
Kathmandu University, Dhulikhel, Nepal.
Radiol Case Rep. 2023 Feb 1;18(4):1457-1460. doi: 10.1016/j.radcr.2023.01.039. eCollection 2023 Apr.
Nontraumatic splenic rupture is a rare pancreatitis complication. We present a 61-year-old chronic alcoholic male with acute on chronic pancreatitis, which progressed to pseudocyst, splenic vein thrombosis, splenic rupture, and eventually hemoperitoneum. Later, the patient required an emergency laparotomy and splenectomy. Early detection and treatment of pancreatitis and pseudocyst can help prevent a rare but potentially fatal complication like an acute rupture.
非创伤性脾破裂是一种罕见的胰腺炎并发症。我们报告一例61岁的慢性酒精性男性患者,患有慢性胰腺炎急性发作,病情进展为假性囊肿、脾静脉血栓形成、脾破裂,最终导致腹腔积血。后来,该患者需要进行急诊剖腹手术和脾切除术。胰腺炎和假性囊肿的早期检测和治疗有助于预防像急性破裂这样罕见但可能致命的并发症。