We report the case of a 48-year-old man with a history of chronic calcifying pancreatitis with frequent exacerbations of alcoholic origin.
After an abundant intake of alcohol, the patient developed severe epigastric pain radiating on a belt that progressively increased.
On physical examination, the patient was pale, sweaty and tachycardic.
Painful abdominal palpation in the epigastrium and hypochondria.
An analytical study showed hemoglobin of 7.8 g/dl, hematocrit of 23.5% and increased amylase (338 U/l).
Abdominal ultrasound and computed tomography (CT) were performed with intravenous contrast in late arterial and portal phases, showing atrophic pancreas with scattered calcifications, as well as a pseudocyst in splenic hilium, which extends through the visceral parenchyma.
It produces a section of it that communicates with a large hematoma sub.
The patient underwent CT-guided puncture-needle of the perisplenic hematoma, progressing favorably.
