EURORAD ESR

Case 15524

Subcapsular splenic hematoma - a rare complication of pancreatitis

Author(s)
Bert Degrieck, Ilse Crevits

AZ Delta, Roeselare, Belgium.
Email: bert.degrieck@ugent.be
 
Patient
male, 60 year(s)
 
 
  • Figure 1
    Initial CT examination

    Axial contrast enhanced CT image made during the first admission showing a pseudocyst in the pancreatic tail adjacent to the splenic hilum, with intrasplenic subcapsular extension. A calcification in the pancreatic...

     
    Area of Interest: Abdomen; Pancreas; Spleen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 2
    CT on second admission

    Coronal CECT image of the second admission, showing the pancreatic pseudocyst extending into the splenic hilum is now complicated with a large heterogeneous subcapsular splenic haematoma. There is mass effect on the...

     
    Area of Interest: Abdomen; Pancreas; Spleen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Haemorrhage; Inflammation;
     
     
Axial contrast enhanced CT image made during the first admission showing a pseudocyst in the pancreatic tail adjacent to the splenic hilum, with intrasplenic subcapsular extension. A calcification in the pancreatic tail is also visible.
 
Coronal CECT image of the second admission, showing the pancreatic pseudocyst extending into the splenic hilum is now complicated with a large heterogeneous subcapsular splenic haematoma. There is mass effect on the splenic parenchyma.
 
 
 
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