Year 2025 / Volume 117 / Number 12
Letter
Massive splenic infarction secondary to exacerbation of chronic pancreatitis - Initial diagnosis with digestive ultrasound

774-775

DOI: 10.17235/reed.2024.10761/2024

Isabel Pérez Valle, Pablo Flórez-Díez, María Rodríguez-Peláez, Valle Cadahía-Rodrigo,

Abstract
Splenic infarction is a rare complication present in 7% of pancreatic inflammatory pathologies. This is justified by the close anatomical relationship between the pancreas and the splenic hilum. Although CT is considered the technique of choice for the diagnosis of this type of complications, the growing use of ultrasound in many digestive units, due to its accessibility and safety for patients, allows for early diagnosis and targeted treatment to prevent further complications. Splenectomy is reserved for cases where complications such as splenic abscess, spleen rupture, haemoperitoneum or persistent pain are present.
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References
1. Martín-Lagos Maldonado A, Ruiz-Escolano E, Alcázar-Jaén LM, et al. Infarto esplénico masivo secundario a una pancreatitis aguda grave. RAPD Online 2012; 35(4):281-2.
2. Arenal Vera JJ, Said A, Guerro JA, Otero M, Gil I. Infarto esplénico secundario a pancreatitis aguda [Splenic infarction secondary to acute pancreatitis]. Rev Esp Enferm Dig. 2008 May;100(5):300-3. Spanish. doi: 10.4321/s1130-01082008000500011. PMID: 18662085.
3. F. Fatjó, J. Ramos, A. Culla, J.M. Grau. Infartos esplénicos: una causa poco común de síndrome febril. Med Clin (Barc), 119 (2002), pp. 357-358.
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Citation tools
Pérez Valle I, Flórez-Díez P, Rodríguez-Peláez M, Cadahía-Rodrigo V. Massive splenic infarction secondary to exacerbation of chronic pancreatitis - Initial diagnosis with digestive ultrasound. 10761/2024


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Publication history

Received: 03/09/2024

Accepted: 06/09/2024

Online First: 19/09/2024

Published: 12/12/2025

Article Online First time: 16 days

Article editing time: 465 days


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