A case involving a Chrissie Tomlinson Memorial Hospital patient with chronic pancreatitis and a ruptured spleen has been featured in a peer-reviewed medical journal.
A report on the case by the hospital’s chief radiologist, Dr. Yaron Rado, and general surgeon Dr. Christopher Bromley appeared in the Case Reports in Surgery journal. The report was studied and written in collaboration with three doctors from the University of Liverpool Medical School – Parisa Moori, Edward J. Nevins and Thomas Wright – who were shadowing the Chrissie Tomlinson doctors at the time of the case.
The case report explores the rare complication of a pancreatic pseudocyst in a 29-year-old male patient who had been admitted to Chrissie Tomlinson Memorial Hospital after presenting himself at the emergency department.
The patient had a history of excessive alcohol intake and chronic pancreatitis. His case involved a pancreatic pseudocyst, secondary to chronic alcoholic pancreatitis, which was complicated by an atraumatic splenic rupture. “The low occurrence and poor understanding of such cases make this a vital topic for awareness for emergency general surgeons,” the doctors said.
A CT scan confirmed splenic rupture, which was managed surgically with a full recovery, according to a press release from the hospital.
In their report, the doctors indicated that there are several cases in the literature documenting cases of atraumatic splenic rupture, “but it remains an uncommon phenomenon and for this reason this diagnosis is often overlooked in a patient without a history of trauma.”
Dr. Rado and Dr. Bromley “were able to postulate that when specific findings occur in a patient under the circumstances discussed in the case, what may happen next,” the press release stated.
The doctors decided to prepare the report and share the information because “[t]hey hope that by raising awareness, they will be enabling other emergency departments to diagnose similar cases.”