Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World Journal of Gastrointestinal Surgery. Sep 27, 2015; 7(9): 219-222
Published online Sep 27, 2015. doi: 10.4240/wjgs.v7.i9.219
Acute pancreatitis complicated with splenic rupture: A case report
Bruno L Hernani, Pedro C Silva, Ricardo T Nishio, Henrique C Mateus, José C Assef, Tercio De Campos
Bruno L Hernani, Pedro C Silva, Ricardo T Nishio, Irmandade da Santa Casa de Misericórdia de São Paulo Hospital, Santa Casa School of Medicine, São Paulo 01221-020, Brazil
Henrique C Mateus, José C Assef, Tercio De Campos, Department of Surgery, Emergency Unit, Irmandade da Santa Casa de São Paulo Hospital, Santa Casa School of Medicine, São Paulo 01221-020, Brazil
Author contributions: Assef JC and De Campos T conceived of and designed the study and critically revised the paper; Hernani BL, Silva PC and Nishio RT acquired the data; Mateus HC analyzed the data; Mateus HC, Assef JC and De Campos T contributed technical procedures; Hernani BL, Silva PC, Nishio RT and Mateus HC interpreted the data; Silva PC and Nishio RT contributed to manuscript preparation; Hernani BL wrote the manuscript.
Institutional review board statement: Approval was obtained from the local ethical committee for the publication of this report.
Informed consent statement: Written informed consent was obtained from the patient for the publication of this report.
Conflict-of-interest statement: The authors declare that they have no competing interests.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Bruno L Hernani, MD, Digestive Surgery Resident, Irmandade da Santa Casa de Misericórdia de São Paulo Hospital, Santa Casa School of Medicine, Rua Dr Cesário Mota Jr 112, São Paulo 01221-020, Brazil. drbrunohernani@gmail.com
Telephone: +55-11-21767000 Fax: +55-11-21767000
Received: April 4, 2015
Peer-review started: April 12, 2015
First decision: May 13, 2015
Revised: June 16, 2015
Accepted: July 11, 2015
Article in press: July 14, 2015
Published online: September 27, 2015
Core Tip

Core tip: This report describes a rare case of atraumatic splenic rupture that occurred in a 30-year-old male patient with acute pancreatitis and splenic vein thrombosis. A computed tomography angiography showed a large amount of free fluid in the abdominal cavity, along with a large splenic hematoma and contrast extravasation along the spleen artery. The patient underwent a splenectomy followed by ultrasound-guided percutaneous drainage.