[Dissecatio profunda ventriculi as an uncommon complication of necrotizing pancreatitis (author's transl)]

Case report on an uncommon complication of a chronic-relapsing pancreatitis with a subacute necrotizing recidive and a retrogastrically located parapancreatic pseudocyst in a 44-yr-old man. An arrosion bleeding out of the A. lienalis into the pseudocyst with a pressure-induced perforation of the cyst led to a rupture of the outer layers of the wall of the stomach with a following splitting of the posterior gastric wall in the middle of the tunica muscularis in an extension of 30 x 10 cm. A rerupture into the abdominal cavity with an internal bleeding caused the death.