Avtor/Urednik		Skok, P; Sinkovič, A; Pivec, G; Tomažič, D
Naslov		Kronični pankreatitis s psevdocisto - neobičajen vzrok krvavitve v trebušno votlino
Prevedeni naslov		Chronic pancreatitis with pseudocyst - unusual cause of hemorrhage into abdominal cavity
Tip		članek
Vir		Gastroenterolog
Vol. in št.		Letnik 4, št. 2
Leto izdaje		2000
Obseg		str. 47-50
Jezik		slo
Abstrakt		Acute hemorrhage due to a pseudocyst of the pancreas is a life endangering complication of chronic pancreatitis. Without operative treatment mortality is as high risk as 90%. Immediate recognition of this complication as well as urgent operative treatment allowing the survival of 70% of patients is i mperative. Described is the case of a patient with chronic pancreatitis and pseudocyst in which hyperamylasemia and unclarified anemia developed following sudden abdominal pain. The suspicion of hemorrhage into the peritoneal cavity was confirmed by selective visceral angiography showing hemorrhage from the splenic artery in the region of the hilus of the spleen. Operative treatment was successful. During the procedure, a ligature was applied to the hemorrhaging splenic artery and a splenectomy was carried out, 2500 ml of bloody contents were removed from the abdominal cavity.
Izvleček		Akutna krvavitev zaradi psevdociste trebušne slinavke je življenje ogrožujoč zaplet kroničnega pankreatitisa. Brez operativnega zdravljenja je umrljivost do 90%. Takojšnje prepoznanje tega zapleta in nujno, operativno zdravljenje omogoči preživetje 70% bolnikom. Opisan je primer bolnika s kroničnim pankreatitisom in psevdocisto, ki je ob nenadnih bolečinah v trebuhu razvil povišano aktivnost amilaze v serumu in nepojasnjeno anemijo. Sum na krvavitev v trebušno votlino smo potrdili s selektivno drobovno angiografijo, ki je potrdila krvavitev iz vranične arterije v predelu vranične line. Bolnik je bil uspešno operativno zdravljen. Pri operativnem posegu so podvezali krvavečo vranično arterijo, odstranili vranico, iz trebušne votline pa so posrkali tudi 2500 ml krvave vsebine.
Deskriptorji		PANCREATITIS PANCREATIC PSEUDOCYST SPLENIC ARTERY RUPTURE ADULT