A rare case of splenic hematoma following chronic pancreatitis--the diagnostic and therapeutic procedures.
We describe herein a clinical case in which a subcapsular splenic hematoma complicated chronic relapsing pancreatitis. A pathogenetic mechanism is postulated that explains the subacute insorgence of the liquid collection with the diffusion of proteolytic enzymes between the splenic capsule and parenchyma. Radical therapy, consisting of exeresis of the cystic formation, splenectomy and caudal pancreatectomy, is recommended for this extremely rare complication.
Agnifili
A
A
Department of Surgery, University of L'Aquila, Italy.
Gianfelice
F
F
Gola
P
P
Ibi
I
I
Onorato
A
A
De Bernardinis
G
G
D002908:Chronic Disease; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications*; D013158:Splenic Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy