title: Pancreatic Pseudocyst with Splenic Artery Erosion, Retroperitoneal and Splenic Hematoma.
abstract: The erosion of the peripancreatic vascular structures is a rare but life-endangering complication of pancreatic diseases. We report a female patient with a multicompartmentalized pancreatic pseudocyst that eroded the splenic artery resulting in a retroperitoneal and splenic hematoma with hemodynamic instability which required emergency laparotomy with splenectomy, partial cystectomy, ligation of the splenic artery at the level of the vascular erosion, cholecystectomy (lithiasis), and multiple drainage. The postoperative course was difficult (elevated level of platelets, pancreatic fistula) but eventually favourable, with no abdominal complaints and no recurrence at 2-year follow-up. The case shows that the pancreatic pseudocysts may present with acute hemorrhagic complications with life-endangering potential and significant postoperative morbidity.
authors.affiliation: Surgical Clinic 4, M5 Department, University of Medicine and Pharmacy of Tirgu-Mures, 540141 Tirgu-Mures, Romania.
authors.forename: Petre V H
authors.initials: PV
authors.lastname: Botianu
authors.affiliation: Surgical Clinic 4, M5 Department, University of Medicine and Pharmacy of Tirgu-Mures, 540141 Tirgu-Mures, Romania.
authors.forename: Adrian S
authors.initials: AS
authors.lastname: Dobre
authors.affiliation: Gastroenterology Clinic/Medical I, M3 Department, University of Medicine and Pharmacy of Tirgu-Mures, 540136 Tirgu-Mures, Romania.
authors.forename: Ana-Maria V
authors.initials: AM
authors.lastname: Botianu
authors.affiliation: Gastroenterology Clinic/Medical VII, M3 Department, University of Medicine and Pharmacy of Tirgu-Mures, 540141 Tirgu-Mures, Romania.
authors.forename: Danusia
authors.initials: D
authors.lastname: Onisor