[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.
D000328:Adult; D002908:Chronic Disease; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D008297:Male; D009336:Necrosis; D010181:Pancreatic Cyst / Q000150:complications; D010195:Pancreatitis / Q000150:complications*; D013157:Splenic Artery; D013275:Stomach Rupture / Q000209:etiology*
Dissecatio profunda ventriculi als ungewöhnliche Komplikation der nekrotisierenden Pankreatitis