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Acute pancreatitis complicated with splenic rupture: A case report
Bruno L Hernani1, Pedro C Silva1, Ricardo T Nishio1
1Bruno 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.
World Journal of Gastrointestinal Surgery
|October 2, 2015
Summary
Acute pancreatitis can rarely cause atraumatic splenic rupture, a serious complication. This case highlights splenic rupture in a patient with acute pancreatitis and splenic vein thrombosis, requiring splenectomy.
Area of Science:
- Gastroenterology
- Abdominal Surgery
Background:
- Atraumatic splenic rupture is a rare but severe complication of acute pancreatitis.
- Splenic vein thrombosis is a recognized complication of pancreatitis.
Observation:
- A 30-year-old male presented with symptoms of acute pancreatitis and was diagnosed with alcoholic pancreatitis with splenic vein thrombosis.
- Clinical deterioration occurred on day six, marked by abdominal distension and falling hemoglobin levels.
- CT angiography revealed hemoperitoneum and active bleeding from the spleen.
Findings:
- The patient experienced atraumatic splenic rupture secondary to acute pancreatitis and splenic vein thrombosis.
- Surgical intervention, including splenectomy, was necessary to manage the splenic rupture and hemoperitoneum.
Implications:
- This case underscores the importance of vigilant monitoring for splenic complications in patients with acute pancreatitis.
- Early recognition and management of splenic rupture are critical for patient outcomes.
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