Type:
Educational Exhibit
Keywords:
Abdomen, Ultrasound, CT, MR, Drainage, Abscess
Authors:
Y. A. Stepanova, O. Zhavoronkova, D. Ionkin, M. Alimurzaeva; Moscow/RU
DOI:
10.1594/ecr2018/C-0296
Learning objectives
Pancreatic pseudocysts (PP) are a characteristic complication for acute and chronic pancreatitis.
Most pseudocysts are localized in the pancreas and only about 20% of them are extrapancreatic (pleura,
mediastinum,
liver,
spleen,
stomach,
pelvis,
etc.) [1-3].
The localization of pseudocysts into spleen is not so frequent.
R.
Heider and K.E.
Behrns in 2001 showed that over 15 years they treated 238 patients with pancreatic pseudocysts,
cysts were localized in spleen in 14 (5.9%) of them [4].
The involvement of the spleen is explained by the proximity of the tail of the pancreas and the spleen gates.
Lesions of the spleen have been repeatedly described in chronic pancreatitis,
and increasingly in the literature in acute pancreatitis.
The spectrum of complications includes peri-and intra-spleen pseudocysts,
subcapsular and intrasplenic hematomas,
spleen infarction and splenic rupture.
The incidence of these complications increased with the routine use of computed tomography in pancreatitis.