Fevzi Cengiz, Savaş Yakan, İlhan Enver

Clinic of 1st General Surgery, İzmir Bozyaka Training Hospital, İzmir, Turkey

Abstract

Splenic subcapsular hematoma and splenic rupture due to pancreatitis is a rare cause of acute abdomen. We report here a case of splenic hematoma and rupture resulting from a newly developing attack of pancreatitis due to drain life of pancreatic pseudocyst which had led to acute renal failure 4 months previously in a 38 year-old woman with chronic pancreatitis due to alcoholism. The patient underwent pancreatic necrosectomy and splenectomy, and was discharged on the 6th postoperative day without complication. We conclude that splenic hematoma, a complication of pancreatitis attack which may require emergency surgical intervention, must be kept in mind in order to make early diagnosis. Considering a possible subsequent attack of pancreatitis and determining follow-up criteria, radical treatment must be planned immediately.

Keywords: Subcapsular splenic hematoma, splenic rupture, pancreatitis, pancreatic pseudocyst


 

Peer Review

Externally peer-reviewed.

Author Contributions

Concept - F.C., S.Y., E.İ.; Design - F.C., S.Y., E.İ.; Data Collection and/or Processing - F.C., S.Y.; Analysis and/or Interpretation - F.C., S.Y.; Writer - F.C.

Conflict of Interest

No conflict of interest was declared by the authors.

Financial Disclosure

The authors declared that this study has received no financial support.