Unusual presentation of pancreatic mucinous cystadenocarcinoma by spontaneous splenic rupture

Dig Surg. 2000;17(6):645-647. doi: 10.1159/000051979.

Abstract

Background: Mucinous cystic neoplasms of the pancreas are uncommon tumors with varying potential for malignancy. Although traumatic splenic rupture is common, spontaneous rupture is a rare event.

Cade report: We present an unusual case of spontaneous splenic rupture, due to an otherwise asymptomatic mucinous cystadenocarcinoma of the tail of the pancreas.

Conclusion: A tumor of the tail of the pancreas may uncommonly present as spontaneous splenic rupture, probably due to venous congestion and infiltration of the spleen, requiring emergency surgical treatment.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cystadenocarcinoma, Mucinous / complications*
  • Cystadenocarcinoma, Mucinous / diagnosis*
  • Cystadenocarcinoma, Mucinous / diagnostic imaging
  • Cystadenocarcinoma, Mucinous / pathology
  • Female
  • Humans
  • Pancreatic Neoplasms / complications*
  • Pancreatic Neoplasms / diagnosis*
  • Pancreatic Neoplasms / diagnostic imaging
  • Pancreatic Neoplasms / pathology
  • Rupture, Spontaneous
  • Splenic Rupture / etiology*
  • Tomography, X-Ray Computed