Author/Editor		Skok, Pavel; Sinkovič, Andreja
Title		Acute hemorrhage into the peritoneal cavity - a complication of chronic pancreatitis with pseudocyst: a case report from clinical practice
Type		članek
Source		Hepatogastroenterology
Vol. and No.		Letnik 46
Publication year		1999
Volume		str. 518-21
Language		eng
Abstract		Acute hemorrhage due to a pseudocyst of the pancreas is a dangerous complication of chronic pancreatitis (CP). Without operative treatment, mortality is as high as 90%. Immediate recognition of this complication as well as urgent operative treatment allowing the survival of 70% of patients is imperative. Described is the case of a patient with CP 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 with 2500ml of bloody contents being removed from the abdominal cavity. Acute hemorrhage into the peritoneal cavity as a complication of chronic pancreatitis with pseudocyst (CPP) requires immediate identification, confirmation by visceral angiography, and urgent operative treatment.
Descriptors		PERITONEAL CAVITY HEMORRHAGE PANCREATIC PSEUDOCYST PANCREATITIS ADULT CHRONIC DISEASE ANEURYSM, FALSE SPLENECTOMY