Spontaneous Rupture of Spleen in Acute Pancreatitis: A Rare Case

Journal of Clinical and Diagnostic Research

卷:15

RUTUJA PRATAP SINGH PARIHAR¹  SHARVARI SHASHIKANT GULVE²  PRATAP SINGH H PARIHAR³ 

[1] Intern, Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Datte Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.;

[2] Junior Resident, Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Datte Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.;

[3] Professor, Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Datte Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.;

关键词: complications;    computed tomography;    pancreas;    splenic rupture;   

DOI  :  10.7860/JCDR/2021/44769.14760

来源: DOAJ

【 摘 要 】

Spontaneous rupture of the spleen is a rare disorder and has been reported to occur due to Haematological, neoplastic andinfectious diseases involving the spleen. We present a case of 25 years young male who presented with epigastric pain and feversince four days. The contrast-enhanced computed tomography scan showed complete distortion of splenic architecture withperisplenic mixed density collection that suggested splenic rupture. Pancreas was bulky in the tail region with adjacent fluid densitycollection. The peripancreatic fluid in the tail region eroded the splenic capsule and penetrated into splenic parenchyma causingspontaneous rupture of the spleen. It also eroded the vessel and caused haematoma. Splenic artery embolisation was done andlater managed conservatively.

【 授权许可】

Unknown