title: Subcapsular splenic hematoma vs intrasplenic pancreatic pseudocyst.
abstract: An intrasplenic pancreatic pseudocyst may mimic a subcapsular splenic hematoma. Misdiagnosis of this entity may have serious consequences. Particular care should be taken when a patient presents with a cystic mass in the region of the spleen and a history of chronic alcohol abuse, regardless of the presence or absence of a history of a traumatic episode. Thin-needle aspiration is the current diagnostic modality of choice. A high fluid amylase level establishes the diagnosis of an intrasplenic pancreatic pseudocyst.
mesh_terms: D000328:Adult; D000681:Amylases / Q000032:analysis; D003102:Colloids; D003937:Diagnosis, Differential; D004322:Drainage; D006406:Hematoma / Q000175:diagnosis*; D006801:Humans; D001239:Inhalation; D008297:Male; D010181:Pancreatic Cyst / Q000175:diagnosis*; D010189:Pancreatic Juice / Q000201:enzymology; D010192:Pancreatic Pseudocyst / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging; D013154:Spleen / Q000000981:diagnostic imaging; D013158:Splenic Diseases / Q000175:diagnosis*; D013455:Sulfur; D013667:Technetium; D013671:Technetium Tc 99m Sulfur Colloid; D014057:Tomography, X-Ray Computed
chemical_list: D003102:Colloids; D013671:Technetium Tc 99m Sulfur Colloid; D013455:Sulfur; D013667:Technetium; D000681:Amylases