تقرير
Acute pancreatitis complicated with splenic rupture: A case report.
| العنوان: | Acute pancreatitis complicated with splenic rupture: A case report. |
|---|---|
| المؤلفون: | Hernani BL; Bruno L Hernani, Pedro C Silva, Ricardo T Nishio, Irmandade da Santa Casa de Misericórdia de São Paulo Hospital, Santa Casa School of Medicine, São Paulo 01221-020, Brazil., Silva PC; Bruno L Hernani, Pedro C Silva, Ricardo T Nishio, Irmandade da Santa Casa de Misericórdia de São Paulo Hospital, Santa Casa School of Medicine, São Paulo 01221-020, Brazil., Nishio RT; Bruno L Hernani, Pedro C Silva, Ricardo T Nishio, Irmandade da Santa Casa de Misericórdia de São Paulo Hospital, Santa Casa School of Medicine, São Paulo 01221-020, Brazil., Mateus HC; Bruno L Hernani, Pedro C Silva, Ricardo T Nishio, Irmandade da Santa Casa de Misericórdia de São Paulo Hospital, Santa Casa School of Medicine, São Paulo 01221-020, Brazil., Assef JC; Bruno L Hernani, Pedro C Silva, Ricardo T Nishio, Irmandade da Santa Casa de Misericórdia de São Paulo Hospital, Santa Casa School of Medicine, São Paulo 01221-020, Brazil., De Campos T; Bruno L Hernani, Pedro C Silva, Ricardo T Nishio, Irmandade da Santa Casa de Misericórdia de São Paulo Hospital, Santa Casa School of Medicine, São Paulo 01221-020, Brazil. |
| المصدر: | World journal of gastrointestinal surgery [World J Gastrointest Surg] 2015 Sep 27; Vol. 7 (9), pp. 219-22. |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Baishideng Publishing Group Country of Publication: United States NLM ID: 101532473 Publication Model: Print Cited Medium: Print ISSN: 1948-9366 (Print) NLM ISO Abbreviation: World J Gastrointest Surg Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: 2014- : Pleasanton, CA : Baishideng Publishing Group Original Publication: Beijing, China : Baishideng |
| مستخلص: | Atraumatic splenic rupture is an uncommon complication of acute pancreatitis. This report describes the case of a 30-year-old man with acute pancreatitis and splenic vein thrombosis complicated by splenic rupture. The patient was admitted to the emergency department with pain in the upper abdomen that had been present for six hours and was associated with vomiting and sweating. He was diagnosed with acute pancreatitis of alcoholic etiology. Upon computed tomography (CT) of the abdomen, the pancreatitis was scored as Balthazar C grade, and a suspicious area of necrosis affecting 30% of the pancreas with splenic vein thrombosis was revealed. Seventy-two hours after admission, the patient had significant improvement in symptoms. However, he showed clinical worsening on the sixth day of hospitalization, with increasing abdominal distension and reduced hemoglobin levels. A CT angiography showed a large amount of free fluid in the abdominal cavity, along with a large splenic hematoma and contrast extravasation along the spleen artery. The patient subsequently underwent laparotomy, which showed hemoperitoneum due to rupture of the splenic parenchyma. A splenectomy was then performed, followed by ultrasound-guided percutaneous drainage. |
| References: | Scand J Surg. 2005;94(2):130-4. (PMID: 16111095) Gastroenterology. 1990 Feb;98(2):509-16. (PMID: 2403954) Pancreas. 2001 Jul;23(1):20-5. (PMID: 11451143) JOP. 2011 May 06;12 (3):287-91. (PMID: 21546711) J Chin Med Assoc. 2008 Feb;71(2):92-5. (PMID: 18290254) Br J Surg. 1996 May;83(5):632. (PMID: 8689204) J Comput Assist Tomogr. 2001 Jan-Feb;25(1):50-4. (PMID: 11176293) Case Rep Gastroenterol. 2011 Apr 13;5(1):179-82. (PMID: 21552441) Trop Gastroenterol. 2010 Apr-Jun;31(2):123-4. (PMID: 20862992) Br J Surg. 2009 Oct;96(10):1114-21. (PMID: 19787754) |
| فهرسة مساهمة: | Keywords: Acute pancreatitis; Pancreatitis; Rupture; Splenic rupture; Spontaneous |
| تواريخ الأحداث: | Date Created: 20151002 Date Completed: 20151001 Latest Revision: 20200930 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC4582241 |
| DOI: | 10.4240/wjgs.v7.i9.219 |
| PMID: | 26425272 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1948-9366 |
|---|---|
| DOI: | 10.4240/wjgs.v7.i9.219 |