慢性胰腺炎并发脾血肿一例——诊断与治疗方法。

A Agnifili, F Gianfelice, P Gola, I Ibi, A Onorato, G De Bernardinis
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引用次数: 5

摘要

我们在此报告一例包膜下脾血肿并发慢性复发性胰腺炎的临床病例。我们假设了一种致病机制,可以解释脾包膜和实质之间蛋白水解酶的扩散导致的液体收集的亚急性缺乏。对于这种极其罕见的并发症,建议采用根治性治疗,包括囊性形成的切除、脾切除术和尾侧胰腺切除术。
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A rare case of splenic hematoma following chronic pancreatitis--the diagnostic and therapeutic procedures.

We describe herein a clinical case in which a subcapsular splenic hematoma complicated chronic relapsing pancreatitis. A pathogenetic mechanism is postulated that explains the subacute insorgence of the liquid collection with the diffusion of proteolytic enzymes between the splenic capsule and parenchyma. Radical therapy, consisting of exeresis of the cystic formation, splenectomy and caudal pancreatectomy, is recommended for this extremely rare complication.

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