Cargando…
Acute abdomen due to pancreatic pseudocyst with splenic extension and rupture
Pancreatic pseudocyst is a common complication of acute and chronic pancreatitis. However, spleen involvement in pancreatitis is rare. We present a patient with a pancreatic tail pseudocyst with splenic extension and rupture. Due to initial stability, conservative management was decided. However, he...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8055058/ https://www.ncbi.nlm.nih.gov/pubmed/33897994 http://dx.doi.org/10.1093/jscr/rjab071 |
_version_ | 1783680389928189952 |
---|---|
author | Navarro, Francisco Leiva, Lissette Norero, Enrique |
author_facet | Navarro, Francisco Leiva, Lissette Norero, Enrique |
author_sort | Navarro, Francisco |
collection | PubMed |
description | Pancreatic pseudocyst is a common complication of acute and chronic pancreatitis. However, spleen involvement in pancreatitis is rare. We present a patient with a pancreatic tail pseudocyst with splenic extension and rupture. Due to initial stability, conservative management was decided. However, he developed tachycardia with severe abdominal pain associated with signs of peritoneal irritation, requiring an emergency laparotomy. A large pancreatic tail pseudocyst was identified in addition to a ruptured spleen. Splenectomy and double layer hand-sewn gastrocystic anastomosis were performed. The patient had a satisfactory recovery and was discharged on the 11th postoperative day. Conservative management is an option in stable patients but with a high rate of failure. Surgery remains the standard choice in these cases. |
format | Online Article Text |
id | pubmed-8055058 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-80550582021-04-22 Acute abdomen due to pancreatic pseudocyst with splenic extension and rupture Navarro, Francisco Leiva, Lissette Norero, Enrique J Surg Case Rep Case Report Pancreatic pseudocyst is a common complication of acute and chronic pancreatitis. However, spleen involvement in pancreatitis is rare. We present a patient with a pancreatic tail pseudocyst with splenic extension and rupture. Due to initial stability, conservative management was decided. However, he developed tachycardia with severe abdominal pain associated with signs of peritoneal irritation, requiring an emergency laparotomy. A large pancreatic tail pseudocyst was identified in addition to a ruptured spleen. Splenectomy and double layer hand-sewn gastrocystic anastomosis were performed. The patient had a satisfactory recovery and was discharged on the 11th postoperative day. Conservative management is an option in stable patients but with a high rate of failure. Surgery remains the standard choice in these cases. Oxford University Press 2021-04-19 /pmc/articles/PMC8055058/ /pubmed/33897994 http://dx.doi.org/10.1093/jscr/rjab071 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2021. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Navarro, Francisco Leiva, Lissette Norero, Enrique Acute abdomen due to pancreatic pseudocyst with splenic extension and rupture |
title | Acute abdomen due to pancreatic pseudocyst with splenic extension and rupture |
title_full | Acute abdomen due to pancreatic pseudocyst with splenic extension and rupture |
title_fullStr | Acute abdomen due to pancreatic pseudocyst with splenic extension and rupture |
title_full_unstemmed | Acute abdomen due to pancreatic pseudocyst with splenic extension and rupture |
title_short | Acute abdomen due to pancreatic pseudocyst with splenic extension and rupture |
title_sort | acute abdomen due to pancreatic pseudocyst with splenic extension and rupture |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8055058/ https://www.ncbi.nlm.nih.gov/pubmed/33897994 http://dx.doi.org/10.1093/jscr/rjab071 |
work_keys_str_mv | AT navarrofrancisco acuteabdomenduetopancreaticpseudocystwithsplenicextensionandrupture AT leivalissette acuteabdomenduetopancreaticpseudocystwithsplenicextensionandrupture AT noreroenrique acuteabdomenduetopancreaticpseudocystwithsplenicextensionandrupture |