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Spontaneous Splenic Rupture as an Uncommon Complication of Acute Pancreatitis
Marco Antonio Rodriguez Sanchez1, Pedro Nieto1, Omar Morales1
1Departamento de Medicina Interna, Centro de Investigación y Docencia en Ciencias de la Salud, Universidad Autónoma de Sinaloa, Hospital Civil de Culiacán, Culiacán, México.
Background:
Spontaneous splenic rupture (SSR) is a rare and potentially life-threatening complication of acute pancreatitis.
Case Report:
We present the case of a 26-year-old female with a history of chronic alcohol use and a recent hospitalization for acute pancreatitis, who presented to the emergency department with severe abdominal pain. Contrast-enhanced computed tomography (CT) scan revealed necrotizing pancreatitis (Balthazar D) and a splenic collection. Following signs of hemodynamic instability and a critical drop in haemoglobin levels, an urgent exploratory laparotomy was performed.
Conclusion:
Splenic complications in the context of acute or chronic pancreatitis are uncommon. A high index of clinical suspicion combined with early diagnosis through CT scan or other imaging modalities is crucial to improving prognosis. Given the potential for rapid deterioration, prompt and appropriate intervention can significantly reduce the morbidity and mortality associated with splenic rupture.
Learning Points:
Spontaneous splenic rupture should be suspected in patients with acute pancreatitis who develop hemodynamic instability.Computed tomography scan is essential for early detection and assessment of splenic complications.Prompt surgical management can significantly improve outcomes in unstable patients.
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