[Intrasplenic pseudocyst and ascites as complications of exacerbated chronic pancreatitis].
A patient with chronic alcoholism displayed significant ascites and a splenic pseudocyst, after relapsing chronic pancreatitis. The pathogenic possibilities are commented. The break of pancreatic ducts, with extravasation of enzymes, that would reach adjacent structures, is a common mechanism to both complications. The authors suggest aspirative puncture for the definitive diagnosis, following splenectomy and distal pancreatectomy as the safest treatment.
Basterra
G
G
Servicio de Medicina Interna, Hospital de Txagorritxu, Facultad de Medicina del País Vasco, Vitoria.
Merino
A
A
Sádaba
J
J
Ayensa
C
C
Bengoa
R
R
Díaz de Otazu
R
R
D000328:Adult; D001201:Ascites / Q000209:etiology*; D002908:Chronic Disease; D003560:Cysts / Q000209:etiology*; D006801:Humans; D008297:Male; D010195:Pancreatitis / Q000150:complications*; D013158:Splenic Diseases / Q000209:etiology*
Pseudoquiste intraesplénico y ascitis como complicaciones de una pancreatitis crónica reagudizada.