Sonographic controlled drainage of a fluid formation of the spleen in combination with pancreatitis - Hematoma of the spleen or pseudocyst of the pancreas perforating into the spleen?

Schacherer, Doris and Klebl, Frank and Zorger, Niels and Schoelmerich, Juergen and Schlottmann, Klaus (2004) Sonographic controlled drainage of a fluid formation of the spleen in combination with pancreatitis - Hematoma of the spleen or pseudocyst of the pancreas perforating into the spleen? ZEITSCHRIFT FUR GASTROENTEROLOGIE, 42 (11). pp. 1301-1305. ISSN 0044-2771,

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Abstract

With regard to acute or chronic pancreatitis various complications involving the spleen can occur, hematoma of the spleen being a rare complication. We describe the case of a patient in reduced general condition with elevated pancreatic enzymes and signs of inflammation. During multiple examinations, hematoma of the spleen, as well as hematomas close to the left adrenal gland and a larger hematoma close to the gastric wall were detected. In computed tomography and due to the laboratory parameters a pancreatitis was diagnosed. After CT-controlled puncture a communication between both formations was considered possible which was in retrospect CT-assisted not successful. Subsequently an ultrasound controlled drainage was performed, finally resulting in a restitutio ad integrum, thereby avoiding splenectomy. The described percutaneous puncture of a fluid formation in the splenic area represents a non-surgical option in the therapy of intrasplenic pancreatic fluid formations.

Item Type: Article
Uncontrolled Keywords: SPLENIC HEMATOMA; PERCUTANEOUS DRAINAGE; SUBCAPSULAR HEMATOMA; COMPLICATIONS; INTERVENTION; ultrasound; puncture; drainage; hematoma of the spleen; pancreatitis
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin I
Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 25 Jun 2021 12:19
Last Modified: 25 Jun 2021 12:19
URI: https://pred.uni-regensburg.de/id/eprint/37055

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