1Division of Gastroenterology, Department of Digestive Diseases and Transplantation, Albert Einstein Healthcare Network, Philadelphia, PA, USA
2Department of Internal Medicine, Albert Einstein Healthcare Network, Philadelphia, PA, USA
Copyright © 2020 Korean Society of Gastrointestinal Endoscopy
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Conflicts of Interest: The authors have no financial conflicts of interest.
Author Contributions
Conceptualization: Deepanshu Jain, Byeori Lee
Data curation: DJ, BL
Formal analysis: DJ, BL
Supervision: Michael Rajala
Validation: MR
Writing-original draft: DJ, BL
Writing-review&editing: MR
Study | Age/Gender | Pancreatitis characteristics/Risk factors | Diagnosis/Treatment and outcome |
---|---|---|---|
Hernani et al. (2015) [13] Brazil | 30/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on hospital day 6 | ||
3) Prior acute pancreatitis: No | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: No | 4) Outcome: complicated by infected peripancreatic collection with subsequent drainage and full recovery | ||
5) Fluid collection: acute necrotic collection | |||
6) SVT: Yes | |||
7) Splenomegaly: No | |||
Sharada et al. (2015) [14] India | 25/M | 1) Type: chronic | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: Yes (1 episode) | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: Yes | 4) Outcome: full recovery | ||
5) Fluid collection: No | |||
6) SVT: No | |||
7) Splenomegaly: Yes | |||
Debnath et al. (2014) [15] India | 45/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: No | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: No | 4) Outcome: complicated by postoperative pancreatitis, multi-organ failure, and eventually death | ||
5) Fluid collection: No | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Cengiz et al. (2013) [16] Turkey | 38/F | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on the presentation | ||
3) Prior acute pancreatitis: Yes (1 episode) | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: No | 4) Outcome: full recovery | ||
5) Fluid collection: pseudocyst at the tail | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Mujtaba et al. (2011) [17] USA | 37/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: Crohn’s disease | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: No | 3) Management: conservative management with transfusion and fluid resuscitation | ||
4) Chronic pancreatitis: No | |||
5) Fluid collection: No | 4) Outcome: full recovery | ||
6) SVT: Yes | |||
7) Splenomegaly: No | |||
Tseng et al. (2008) [18] Taiwan | 32/M | 1) Type: acute | 1) Subcapsular splenic hematoma |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: Yes (2 episodes) | 3) Management: percutaneous drainage for 4 weeks | ||
4) Chronic pancreatitis: No | 4) Outcome: full recovery | ||
5) Fluid collection: No | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Patel et al. (2005) [19] USA | 44/M | 1) Type: acute | 1) Subcapsular splenic hematoma |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: No | 3) Management: conservative management | ||
4) Chronic pancreatitis: Yes | 4) Outcome: full recovery | ||
5) Fluid collection: pseudocyst at the tail | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Sawrey et al. (2013) [20] UK | 55/M | 1) Type: chronic | 1) Intracapsular splenic hematoma |
2) Etiology: N/A | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: Yes (1 episode) | 3) Management: splenic artery embolization | ||
4) Chronic pancreatitis: Yes | 4) Outcome: in recovery | ||
5) Fluid collection: pseudocyst | |||
6) SVT: Yes | |||
7) Splenomegaly: No | |||
Huang et al. (2002) [21] Taiwan | 25/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on hospital day 3 | ||
3) Prior acute pancreatitis: Yes | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: No | 4) Outcome: full recovery | ||
5) Fluid collection: No | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Kuramitsu et al. (1995) [22] Japan | 63/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: N/A | 2) Timing: splenic hematoma on presentation. Ruptured 1 month after | ||
3) Prior acute pancreatitis: No | |||
4) Chronic pancreatitis: Yes | 3) Management: laparotomy without splenectomy | ||
5) Fluid collection: pseudocyst at the tail | 4) Outcome: full recovery | ||
6) SVT: No | |||
7) Splenomegaly: No | |||
Zhou et al. (2016) [23] USA | 59/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on hospital day 2 | ||
3) Prior acute pancreatitis: No | 3) Management: splenic artery embolization first, followed by laparotomy with splenectomy | ||
4) Chronic pancreatitis: No | |||
5) Fluid collection: No | 4) Outcome: full recovery | ||
6) SVT: Yes | |||
7) Splenomegaly: No | |||
Gandhi et al. (2010) [24] India | 35/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: N/A | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: Yes (multiple episodes) | 3) Management: laparotomy with distal pancreatectomy and splenectomy | ||
4) Chronic pancreatitis: No | |||
5) Fluid collection: multiple pseudocysts at the tail | 4) Outcome: full recovery | ||
6) SVT: No | |||
7) Splenomegaly: No | |||
Katsanos et al. (2004) [25] Greece | 65/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: N/A | 2) Timing: on hospital day 6 | ||
3) Prior acute pancreatitis: Yes (multiple episodes) | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: No | 4) Outcome: full recovery | ||
5) Fluid collection: No | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Adelekan et al. (2003) [26] Not defined | 31/F | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: No | 3) Management: laparotomy with splenectomy and distal pancreatectomy | ||
4) Chronic pancreatitis: No | |||
5) Fluid collection: small pseudocyst in retroperitoneum | 4) Outcome: full recovery | ||
6) SVT: No | |||
7) Splenomegaly: Yes | |||
Toussi et al. (1996) [27] Ireland | 52/F | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on hospital day 7 | ||
3) Prior acute pancreatitis: No | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: No | 4) Outcome: complicated by necrotic pancreas with a large cyst, which was managed with laparotomy with pancreatic necrosectomy. Full recovery after | ||
5) Fluid collection: No | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Catanzaro et al. (1968) [28] USA | 33/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: No | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: No | 4) Outcome: full recovery | ||
5) Fluid collection: pseudocyst at the tail | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Labree et al. (1960) [29] USA | 45/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: Yes (1 episode) | 3) Management: laparotomy without splenectomy, drainage inserted | ||
4) Chronic pancreatitis: No | |||
5) Fluid collection: small pseudocyst | 4) Outcome: complicated by a large pancreatic cyst, which was marsupialized. Full recovery after | ||
6) SVT: No | |||
7) Splenomegaly: No | |||
Moori et al. (2016) [30] UK | 29/M | 1) Type: chronic | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on hospital day 2 | ||
3) Prior acute pancreatitis: No | 3) Management: laparotomy with splenectomy and distal pancreatectomy | ||
4) Chronic pancreatitis: Yes | |||
5) Fluid collection: pseudocyst at the tail | 4) Outcome: full recovery | ||
6) SVT: No | |||
7) Splenomegaly: No | |||
Vyborny et al. (1988) [31] USA | 58/M | 1) Type: acute | 1) Subcapsular splenic hematoma |
2) Etiology: N/A | 2) Timing: 1 month after initial presentation | ||
3) Prior acute pancreatitis: No | 3) Management: percutaneous drainage | ||
4) Chronic pancreatitis: No | 4) Outcome: full recovery | ||
5) Fluid collection: infected pseudocyst in head and neck, and multiple small peripancreatic collections at the tail | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Moore et al. (1984) [32] Australia | 42/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: N/A | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: Yes (1 episode) | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: Yes | 4) Outcome: full recovery | ||
5) Fluid collection: No | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Jha et al. (2011) [33] India | 45/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: No | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: Yes | 4) Outcome: full recovery | ||
5) Fluid collection: fluid along the pancreatic tail | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Torricelli et al. (2001) [34] Italy | 67/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: Yes (multiple episodes) | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: No | 4) Outcome: full recovery | ||
5) Fluid collection: pseudocyst at the tail | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Scherer et al. (1987) [35] Germany | 45/M | 1) Type: chronic | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: Yes (multiple episodes) | 3) Management: laparotomy with splenectomy and distal pancreatectomy | ||
4) Chronic pancreatitis: Yes | |||
5) Fluid collection: pseudocyst at the tail | 4) Outcome: full recovery | ||
6) SVT: No | |||
7) Splenomegaly: Yes | |||
32/M | 1) Type: acute | 1) Splenic rupture | |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: Yes (multiple episodes) | 3) Management: laparotomy with splenectomy and distal pancreatectomy | ||
4) Chronic pancreatitis: No | |||
5) Fluid collection: pseudocyst at the tail | 4) Outcome: complicated by suppuration in the spleen cavity | ||
6) SVT: No | |||
7) Splenomegaly: Yes | |||
Patil et al. (2011) [36] UK | 47/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: On hospital day 2 | ||
3) Prior acute pancreatitis: Yes (multiple episodes) | 3) Management: Laparotomy with splenectomy | ||
4) Chronic pancreatitis: No | 4) Outcome: Full recovery | ||
5) Fluid collection: No | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
23/F | 1) Type: acute | 1) Splenic rupture | |
2) Etiology: alcohol | 2) Timing: on hospital day 7 | ||
3) Prior acute pancreatitis: No | 3) Management: splenic artery embolization, followed by laparotomy with excision of splenic tissue | ||
4) Chronic pancreatitis: No | |||
5) Fluid collection: pseudocyst at the tail | 4) Outcome: full recovery | ||
6) SVT: Yes | |||
7) Splenomegaly: No | |||
45/F | 1) Type: acute | 1) Subcapsular hematoma | |
2) Etiology: idiopathic | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: Yes (1 episode) | 3) Management: conservative management | ||
4) Chronic pancreatitis: No | 4) Outcome: full recovery | ||
5) Fluid collection: No | |||
6) SVT: No | |||
7) Splenomegaly: No |
Study | Age/Gender | Pancreatitis characteristics/Risk factors | Diagnosis/Treatment and outcome |
---|---|---|---|
Hernani et al. (2015) [13] Brazil | 30/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on hospital day 6 | ||
3) Prior acute pancreatitis: No | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: No | 4) Outcome: complicated by infected peripancreatic collection with subsequent drainage and full recovery | ||
5) Fluid collection: acute necrotic collection | |||
6) SVT: Yes | |||
7) Splenomegaly: No | |||
Sharada et al. (2015) [14] India | 25/M | 1) Type: chronic | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: Yes (1 episode) | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: Yes | 4) Outcome: full recovery | ||
5) Fluid collection: No | |||
6) SVT: No | |||
7) Splenomegaly: Yes | |||
Debnath et al. (2014) [15] India | 45/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: No | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: No | 4) Outcome: complicated by postoperative pancreatitis, multi-organ failure, and eventually death | ||
5) Fluid collection: No | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Cengiz et al. (2013) [16] Turkey | 38/F | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on the presentation | ||
3) Prior acute pancreatitis: Yes (1 episode) | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: No | 4) Outcome: full recovery | ||
5) Fluid collection: pseudocyst at the tail | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Mujtaba et al. (2011) [17] USA | 37/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: Crohn’s disease | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: No | 3) Management: conservative management with transfusion and fluid resuscitation | ||
4) Chronic pancreatitis: No | |||
5) Fluid collection: No | 4) Outcome: full recovery | ||
6) SVT: Yes | |||
7) Splenomegaly: No | |||
Tseng et al. (2008) [18] Taiwan | 32/M | 1) Type: acute | 1) Subcapsular splenic hematoma |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: Yes (2 episodes) | 3) Management: percutaneous drainage for 4 weeks | ||
4) Chronic pancreatitis: No | 4) Outcome: full recovery | ||
5) Fluid collection: No | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Patel et al. (2005) [19] USA | 44/M | 1) Type: acute | 1) Subcapsular splenic hematoma |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: No | 3) Management: conservative management | ||
4) Chronic pancreatitis: Yes | 4) Outcome: full recovery | ||
5) Fluid collection: pseudocyst at the tail | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Sawrey et al. (2013) [20] UK | 55/M | 1) Type: chronic | 1) Intracapsular splenic hematoma |
2) Etiology: N/A | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: Yes (1 episode) | 3) Management: splenic artery embolization | ||
4) Chronic pancreatitis: Yes | 4) Outcome: in recovery | ||
5) Fluid collection: pseudocyst | |||
6) SVT: Yes | |||
7) Splenomegaly: No | |||
Huang et al. (2002) [21] Taiwan | 25/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on hospital day 3 | ||
3) Prior acute pancreatitis: Yes | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: No | 4) Outcome: full recovery | ||
5) Fluid collection: No | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Kuramitsu et al. (1995) [22] Japan | 63/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: N/A | 2) Timing: splenic hematoma on presentation. Ruptured 1 month after | ||
3) Prior acute pancreatitis: No | |||
4) Chronic pancreatitis: Yes | 3) Management: laparotomy without splenectomy | ||
5) Fluid collection: pseudocyst at the tail | 4) Outcome: full recovery | ||
6) SVT: No | |||
7) Splenomegaly: No | |||
Zhou et al. (2016) [23] USA | 59/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on hospital day 2 | ||
3) Prior acute pancreatitis: No | 3) Management: splenic artery embolization first, followed by laparotomy with splenectomy | ||
4) Chronic pancreatitis: No | |||
5) Fluid collection: No | 4) Outcome: full recovery | ||
6) SVT: Yes | |||
7) Splenomegaly: No | |||
Gandhi et al. (2010) [24] India | 35/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: N/A | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: Yes (multiple episodes) | 3) Management: laparotomy with distal pancreatectomy and splenectomy | ||
4) Chronic pancreatitis: No | |||
5) Fluid collection: multiple pseudocysts at the tail | 4) Outcome: full recovery | ||
6) SVT: No | |||
7) Splenomegaly: No | |||
Katsanos et al. (2004) [25] Greece | 65/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: N/A | 2) Timing: on hospital day 6 | ||
3) Prior acute pancreatitis: Yes (multiple episodes) | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: No | 4) Outcome: full recovery | ||
5) Fluid collection: No | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Adelekan et al. (2003) [26] Not defined | 31/F | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: No | 3) Management: laparotomy with splenectomy and distal pancreatectomy | ||
4) Chronic pancreatitis: No | |||
5) Fluid collection: small pseudocyst in retroperitoneum | 4) Outcome: full recovery | ||
6) SVT: No | |||
7) Splenomegaly: Yes | |||
Toussi et al. (1996) [27] Ireland | 52/F | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on hospital day 7 | ||
3) Prior acute pancreatitis: No | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: No | 4) Outcome: complicated by necrotic pancreas with a large cyst, which was managed with laparotomy with pancreatic necrosectomy. Full recovery after | ||
5) Fluid collection: No | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Catanzaro et al. (1968) [28] USA | 33/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: No | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: No | 4) Outcome: full recovery | ||
5) Fluid collection: pseudocyst at the tail | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Labree et al. (1960) [29] USA | 45/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: Yes (1 episode) | 3) Management: laparotomy without splenectomy, drainage inserted | ||
4) Chronic pancreatitis: No | |||
5) Fluid collection: small pseudocyst | 4) Outcome: complicated by a large pancreatic cyst, which was marsupialized. Full recovery after | ||
6) SVT: No | |||
7) Splenomegaly: No | |||
Moori et al. (2016) [30] UK | 29/M | 1) Type: chronic | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on hospital day 2 | ||
3) Prior acute pancreatitis: No | 3) Management: laparotomy with splenectomy and distal pancreatectomy | ||
4) Chronic pancreatitis: Yes | |||
5) Fluid collection: pseudocyst at the tail | 4) Outcome: full recovery | ||
6) SVT: No | |||
7) Splenomegaly: No | |||
Vyborny et al. (1988) [31] USA | 58/M | 1) Type: acute | 1) Subcapsular splenic hematoma |
2) Etiology: N/A | 2) Timing: 1 month after initial presentation | ||
3) Prior acute pancreatitis: No | 3) Management: percutaneous drainage | ||
4) Chronic pancreatitis: No | 4) Outcome: full recovery | ||
5) Fluid collection: infected pseudocyst in head and neck, and multiple small peripancreatic collections at the tail | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Moore et al. (1984) [32] Australia | 42/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: N/A | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: Yes (1 episode) | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: Yes | 4) Outcome: full recovery | ||
5) Fluid collection: No | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Jha et al. (2011) [33] India | 45/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: No | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: Yes | 4) Outcome: full recovery | ||
5) Fluid collection: fluid along the pancreatic tail | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Torricelli et al. (2001) [34] Italy | 67/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: Yes (multiple episodes) | 3) Management: laparotomy with splenectomy | ||
4) Chronic pancreatitis: No | 4) Outcome: full recovery | ||
5) Fluid collection: pseudocyst at the tail | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
Scherer et al. (1987) [35] Germany | 45/M | 1) Type: chronic | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: Yes (multiple episodes) | 3) Management: laparotomy with splenectomy and distal pancreatectomy | ||
4) Chronic pancreatitis: Yes | |||
5) Fluid collection: pseudocyst at the tail | 4) Outcome: full recovery | ||
6) SVT: No | |||
7) Splenomegaly: Yes | |||
32/M | 1) Type: acute | 1) Splenic rupture | |
2) Etiology: alcohol | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: Yes (multiple episodes) | 3) Management: laparotomy with splenectomy and distal pancreatectomy | ||
4) Chronic pancreatitis: No | |||
5) Fluid collection: pseudocyst at the tail | 4) Outcome: complicated by suppuration in the spleen cavity | ||
6) SVT: No | |||
7) Splenomegaly: Yes | |||
Patil et al. (2011) [36] UK | 47/M | 1) Type: acute | 1) Splenic rupture |
2) Etiology: alcohol | 2) Timing: On hospital day 2 | ||
3) Prior acute pancreatitis: Yes (multiple episodes) | 3) Management: Laparotomy with splenectomy | ||
4) Chronic pancreatitis: No | 4) Outcome: Full recovery | ||
5) Fluid collection: No | |||
6) SVT: No | |||
7) Splenomegaly: No | |||
23/F | 1) Type: acute | 1) Splenic rupture | |
2) Etiology: alcohol | 2) Timing: on hospital day 7 | ||
3) Prior acute pancreatitis: No | 3) Management: splenic artery embolization, followed by laparotomy with excision of splenic tissue | ||
4) Chronic pancreatitis: No | |||
5) Fluid collection: pseudocyst at the tail | 4) Outcome: full recovery | ||
6) SVT: Yes | |||
7) Splenomegaly: No | |||
45/F | 1) Type: acute | 1) Subcapsular hematoma | |
2) Etiology: idiopathic | 2) Timing: on presentation | ||
3) Prior acute pancreatitis: Yes (1 episode) | 3) Management: conservative management | ||
4) Chronic pancreatitis: No | 4) Outcome: full recovery | ||
5) Fluid collection: No | |||
6) SVT: No | |||
7) Splenomegaly: No |
N/A, not applicable; SVT, splenic vein thrombosis.