Ungewöhnliche Komplikation eines akuten Schubs bei chronischer Pankreatitis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2007-12-02

AUTHORS

C. Ochmann, J. Boldt, K.D. Röhm, S. Klippel, S.N. Piper

ABSTRACT

Atraumatic rupture of the spleen is a rare, but life-threatening complication of pancreatitis. We report a case of an atraumatic spleenic rupture in chronic pancreatitis. A 41 year old man presented in the emergency room with abdominal pain and typical signs of acute pancreatitis. His medical history showed a chronic pancreatitis due to alcoholism with recurrent acute pancreatitic episodes. He denied any trauma in the recent past. In the next few hours he showed clinical signs of a severe hemorrhagic shock. The haemoglobin level fell from 9.4 to 3.0 g/dl. Abdominal ultrasound and abdominal CT scan showed free fluid. In the following laparotomy a splenectomy was performed due to splenic rupture. A histological examination of the spleen revealed no reason, that could explain the splenic rupture. Hence we assumed a spontaneous rupture. The reported case demonstrates that in acute pancreatitis and signs of shock it is necessary to rule out rupture of the spleen e.g. via ultrasound and abdominal CT scan. If there are signs of spleenic rupture, the only therapy of this life-threatening complication is instant operation to save patient’s life. More... »

PAGES

97-100

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00108-007-1982-y

DOI

http://dx.doi.org/10.1007/s00108-007-1982-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1010206142

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/18060333


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