Leloup J M, Fingerhut A, Oberlin P, Ronat R
J Chir (Paris). 1984 Aug-Sep;121(8-9):501-4.
The authors have observed 2 new cases of splenic rupture due to pancreatic pseudocyst and have made a review of the literature on the subject (40 cases). The clinical, diagnostic and therapeutic approaches of this rare but sometimes dramatic complication of chronic pancreatitis have been analyzed. Diagnosis should be suspected in the case of abdominal pain, mass and anemia in the male subject with previously known chronic pancreatic or alcoholic disease. Sonography completed by either angiography or CT scan if time permits are the best diagnostic methods. Ideal management should include treatment (excision or drainage) of the pseudocyst and splenectomy.
作者观察到2例因胰腺假性囊肿导致脾破裂的新病例，并对该主题的文献（40例）进行了回顾。分析了这种慢性胰腺炎罕见但有时很严重的并发症的临床、诊断和治疗方法。对于有慢性胰腺疾病或酒精性疾病史的男性患者，若出现腹痛、肿块和贫血，应怀疑有此诊断。如果时间允许，超声检查辅以血管造影或CT扫描是最佳诊断方法。理想的治疗应包括假性囊肿的治疗（切除或引流）和脾切除术。
