Intrasplenic Pancreatic Pseudocyst: A Rare Complication of Acute Pancreatitis

TL;DRAbstract

Case Report Splenic involvement secondary to acute pancreatitis is rare (approximately 2%), but can include hemorrhage, splenic rupture, vascular injury, or pseudocyst formation.1 A 46-year-old man presented with left upper quadrant (LUQ) abdominal pain 3 months after a moderately severe case of acute alcoholic pancreatitis. He was afebrile, hemodynamically stable, and with LUQ tenderness on exam. Labs were significant for an amylase level of 113 U/L and a normal lipase. Right upper quadrant (RUQ) ultrasound was unremarkable. Contrast-enhanced computed tomography (CT) revealed residual changes consistent with prior pancreatitis and an ill-defined, 1-cm focal hypodensity in the tail of pancreas consistent with a developing pancreatic pseudocyst (Figure 1). He was treated conservatively with bowel rest, pain control, and intravenous fluids, and his symptoms resolved. Five months later, the patient presented with similar complaints. Repeat CT demonstrated an interval progression of the pa

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