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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Spontaneous Splenic Rupture: A Rare Complication of Acute Pancreatiti
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Spontaneous Splenic Rupture: A Rare Complication of Acute Pancreatiti

机译:自发性脾破裂:急性胰腺炎的罕见并发症

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The spleen and its vasculature due to the close proximity with the pancreas are prone to complications during any inflammatory process affecting the pancreas. Spontaneous subcapsular splenic haematoma with rupture is one of the rarest complications of pancreatitis. In this case report one such rare complication of splenic rupture as a sequel of acute pancreatitis was reported. A 45-year-old male with a history of gallstone induced severe acute pancreatitis had presented to the emergency with abdominal pain and swelling after one month of initial attack. On evaluation, there was an ill-defined tender lump was palpable in the left hypochondrium with a drop in haemoglobin level from 10.2 gm/dL to 6 gm/dL when compared to the previous admission one month back. Imaging was suggestive of grade four splenic injury with rupture. The patient underwent splenectomy along with cholecystectomy. Spontaneous splenic rupture is one of the rarest complications of acute pancreatitis and one must consider other vascular complications as differential diagnosis.
机译:由于与胰腺密切接近的脾脏和血管系统在影响胰腺的任何炎症过程中易患并发症。具有破裂的自发性亚面脾血肿是胰腺炎的最稀有并发症之一。在这种情况下,报告了作为急性胰腺炎续集的一种如此罕见的脾破裂并发症。一个45岁的男性,胆石历史诱导严重的急性胰腺炎,患有腹痛和初始攻击后的腹痛和肿胀。在评价中,左下丘脑的左闭孔有一个不明确的柔软肿块,与前一个月的录取相比,血红蛋白水平从10.2 gm / dl到6克/ dl。成像暗示Ⅲ级脾损伤与破裂。患者接受脾切除术以及胆囊切除术。自发脾破裂是急性胰腺炎的最稀有并发症之一,并且必须考虑其他血管并发症作为鉴别诊断。

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