PMC5098070_01
(a) Ultrasound scan demonstrating a pancreatic pseudocyst adjacent to the splenic hilum. (b) Coronal oblique reconstruction of contrast enhanced computed tomography. The arrow indicates the pancreatic tail pseudocyst, located at the splenic hilum. (c) Contrast enhanced computed tomography showing a heterogenous hypodense area in the spleen adjacent to the pancreatic pseudocyst. The white arrow refers to the spleen with hypodense area.
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fig1
The patient was investigated with ultrasound scan (USS) that revealed a PP (Figure 1(a)). A computed tomography (CT) scan of the abdomen confirmed the presence of a PP in direct contact with the inferior pole of the spleen (Figure 1(b)). A heterogenous hypodense area of the splenic hilum was noted and there was a grossly enlarged liver with a normal gall bladder (Figure 1(c)).
(a) USS showing a heterogenous liver and the presence of haemorrhagic fluid. (b) Computed tomography coronal reconstruction showing haemorrhage around the ruptured spleen. The arrow in (a) refers to haemorrhagic fluid in the liver and the arrow in (b) refers to the spleen.
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fig2
An USS revealed intra-abdominal haemorrhage (Figure 2(a)), which was confirmed by CT as a result of a splenic rupture (Figure 2(b)).