Holzinger F, Moser J J, Baer H U, Büchler M W
Department of Visceral and Transplantation Surgery, Inselspital, University of Bern.
Hepatogastroenterology. 1996 Nov-Dec;43(12):1645-9.
Intrasplenic pseudocyst is a rare form of a late complication of chronic pancreatitis. We report the case of a 30-year-old man with an intrasplenic pseudocyst associated with chronic alcoholic pancreatitis. The patient was admitted with the third acute phase of chronic relapsing pancreatitis. Abdominal US and CT showed a large cyst in the pancreatic tail with involvement of the spleen. ERCP revealed marked irregularities of the main pancreatic duct without communication to the large cyst and a narrowing of the distal common bile duct by chronic pancreatitis of the head of the pancreas. Organ preserving surgical treatment with duodenum- preserving resection of the head of the pancreas combined with distal pancreatectomy and splenectomy was performed. This procedure may be indicated in selected patients to preserve functional pancreatic tissue and prevent diabetes. It should be in the armamentarium of the specialized pancreatic surgeon.
脾内假性囊肿是慢性胰腺炎晚期并发症的一种罕见形式。我们报告一例30岁男性患者，其患有与慢性酒精性胰腺炎相关的脾内假性囊肿。该患者因慢性复发性胰腺炎的第三次急性期入院。腹部超声和CT显示胰尾有一个大囊肿，并累及脾脏。内镜逆行胰胆管造影（ERCP）显示主胰管明显不规则，与大囊肿无连通，且由于胰头慢性胰腺炎导致胆总管远端狭窄。实施了保留十二指肠的胰头切除术联合远端胰腺切除术和脾切除术的器官保留手术治疗。该手术可用于特定患者，以保留功能性胰腺组织并预防糖尿病。它应是专业胰腺外科医生的手术手段之一。
