Year 2017 / Volume 109 / Number 6
Letter to the Editor
Atraumatic splenic rupture as a complication of acute exacerbation of chronic pancreatitis, an unusual disease

477-478

DOI: 10.17235/reed.2017.4597/2016

Elena Moya Sánchez, Antonio Medina Benítez,

Abstract
We report the case of a patient with acute exacerbation of chronic pancreatitis and he suffered an atraumatic splenic rupture. Splenic rupture not associated with trauma is a rare entity that can occurs in normal spleen (spontaneous) or damaged spleen (pathological). This entity may be associated with local inflammatory processes, such as pancreatitis. Ultrasound is a non-invasive technique which is used in unstable patients. CT is useful for making a diagnosis of extension in patients with hemodynamic stability. Atraumatic splenic rupture as a complication of chronic pancreatitis is an unusual disease that requires a high index of suspicion which allows us an early diagnosis because it is a treatable entity that compromises the patient's life.
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References
1. Hernani BL, Silva PC, Nishio RT, et al. Acute pancreatitis complicated with splenic rupture: A case report. World J Gastrointest Surg 2015;7:219-22
2. Sharada S, Olakkengil S, Rozario AP. Occult splenic rupture in a case of chronic calcific pancreatitis with a brief review of literature. Int J Surg Case Rep 2015;14: 95–97
3. Gedik E, Girgin S, Aldemir M, et al. Non-traumatic splenic rupture: report of seven cases and review of the literature. World J Gastroenterol 2008;14:6711-6
4. Renzulli P, Hostettler A, Schoepfer AM, et al. Systematic review of atraumatic splenic rupture. Br J Surg 2009;96:1114-21.
5. Heider R, Behrns KE. Pancreatic pseudocysts complicated by splenic parenchymal involvement: Results of operative and percutaneous management. Pancreas 2001;23:20-5
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Moya Sánchez E, Medina Benítez A. Atraumatic splenic rupture as a complication of acute exacerbation of chronic pancreatitis, an unusual disease . 4597/2016


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Publication history

Received: 03/09/2016

Accepted: 13/10/2016

Online First: 27/02/2017

Published: 01/06/2017

Article revision time: 28 days

Article Online First time: 177 days

Article editing time: 271 days


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