G. Basterra et al., INTRASPLENIC PSEUDOCYST AND ASCITES AS RE LAPSING CHRONIC-PANCREATITIS COMPLICATIONS, Revista espanola de enfermedades digestivas, 83(6), 1993, pp. 463-465
A patient with chronic alcoholism displayed significant ascites and a
splenic pseudocyst, after relapsing chronic pancreatitis. The pathogen
ic possibilities are commented. The break of pancreatic ducts, with ex
travasation of enzymes, that would reach adjacent structures, is a com
mon mechanism to both complications. The authors suggest aspirative pu
ncture for the definitive diagnosis, following splenectomy and distal
pancreatectomy as the safest treatment.