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British Journal of Radiology (1995) 68, 662-664
© 1995 British Institute of Radiology
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The British Journal of Radiology, Vol 68, Issue 810 662-664, Copyright © 1995 by British Institute of Radiology


ARTICLES

Case report: computed tomography features of complete splenic infarction, cavitation and spontaneous decompression complicating pancreatitis

DA Collie, JM Ferguson, PL Allan and DN Redhead
Department of Radiology, Royal Infirmary, Edinburgh, UK.

Splenic infarction is a rare complication of pancreatitis. We present the case of a 34-year-old woman, who had undergone previous drainage of a pancreatic pseudocyst, and who represented with left upper quadrant pain. Absence of enhancement of the splenic parenchyma during contrast enhanced computed tomography (CT) allowed confident diagnosis of complete splenic infarction. A later CT scan revealed splenic cavitation with spontaneous decompression into the stomach. The aetiology of these unusual complications of pancreatitis is discussed.





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