Pancreatic Pseudocyst with Splenic Involvement: Report of a Case

胰臟假性囊腫是急性及慢性胰臟炎常見之併發症，但大多數爲小型且無併發症，通常只需要支持性療法。胰臟炎引起脾臟之併發症不多見且有致命之危險性。我們報告一例43歲男性病患因酒精性胰臟炎合併脾臟被囊下假性囊腫，臨床上以嘔吐、上腹部及左上腹部疼痛一天來表現。抽血檢查發現amylase及lipase升高，腹部超音波及腹部電腦斷層檢查發現胰臟有散在性的腫大、左肝下有液體堆積、脾臟被囊下有一大型囊狀物。經皮下引流術引流脾臟被囊下之囊狀物，發現其內液體所含之amylase亦有上升。經引流完全後，病人順利地在住院第十七天出院。病人出院後兩個月內回診追蹤脾臟假性囊腫並無再發且左肝下液體也自行吸收。

關鍵字

胰臟炎；胰臟假性囊腫；脾臟假性囊腫

並列摘要

Pancreatic pseudocysts are a common complication of acute and chronic pancreatitis, and they are usually small and uncomplicated. Most of them can be managed conservatively. Pancreatic pseudocysts with splenic parenchymal involvement are uncommon but have potentially life threatening. We report a 43-year-old man, an alcohol abuser, presenting with vomiting, epigastric pain and left upper quadrant pain for one day. There were elevated serum amylase and lipase. Ultrasound and computed tomography of the abdomen showed diffuse enlargement of the pancreas, subhepatic fluid collection and a large cystic lesion in the subcapsular area of the spleen. Computed tomography-guided percutaneous drainage was performed and the aspirated fluid had a high amylase level. The pig-tail catheter was removed after well drainage of splenic pseudocyst, and subsequently the patient was uneventfully discharged on the 17th hospital day. There was no evidence of recurrence of the splenic pseudo cyst and spontaneous resolution of subhepatic fluid collection after 2 months' follow-up

並列關鍵字

Pancreatitis ； pancreatic pseudocyst ； splenic pseudocyst

國際替代計量

Pancreatic Pseudocyst with Splenic Involvement: Report of a Case

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