Porter J M, Fenton O M
Postgrad Med J. 1981 Oct;57(672):671-3. doi: 10.1136/pgmj.57.672.671.
Two patients with haemoperitoneum due to spontaneous haemorrhage near the tail of the pancreas are described. One patient presented acutely with epigastric pain and was found to be bleeding from the main trunk of the splenic artery. The other presented with a prolonged history of epigastric pain culminating in a haematemesis and was found to have a partially organized haematoma in the tail of the pancreas. In both cases the bleeding was proximal to the splenic pedicle, and distal pancreatectomy with splenectomy was necessary to achieve haemostasis.
本文描述了两名因胰腺尾部附近自发性出血导致腹腔积血的患者。一名患者急性出现上腹部疼痛，经检查发现脾动脉主干出血。另一名患者有长期上腹部疼痛病史，最终出现呕血，经检查发现胰腺尾部有一个部分机化的血肿。在这两例病例中，出血均位于脾蒂近端，因此需要行远端胰腺切除术加脾切除术来实现止血。
