{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T17:23:10Z","timestamp":1788801790449,"version":"build-2803163510"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"11","license":[{"start":{"date-parts":[[2023,2,3]],"date-time":"2023-02-03T00:00:00Z","timestamp":1675382400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die atraumatische Milzruptur ist eine seltene Komplikation der akuten und chronischen Pankreatitis. Sie entsteht aufgrund ihrer anatomischen N\u00e4he zum Pankreas, beispielsweise als Folge der Erosion gro\u00dfer Pseudozysten oder Walled-of-Nekrosen (WON).<\/jats:p><jats:p>Im Folgenden beschreiben wir den Fall einer 62-j\u00e4hrigen Patientin, welche sich zur weiteren Diagnostik und Therapie einer akuten Pankreatitis mit Ausbildung einer gro\u00dfen Walled-of-Nekrose (WON) im Pankreaskorpus und -schwanz vorstellte. Im Verlauf entwickelte die Patientin einen h\u00e4morrhagischen Schock. Eine Notfall-Computertomografie (CT) des Abdomens zeigte eine Milzruptur mit gro\u00dfem Kapselh\u00e4matom ohne den Nachweis einer aktiven Blutung. Im Gegensatz zu bereits publizierten F\u00e4llen wurde die Patientin ausschlie\u00dflich minimalinvasiv therapiert: mittels radiologisch gesteuerter langstreckiger Embolisation der Arteria lienalis und mittels endosonografisch angelegtem Lumen-apposing Metall Stent (LAMS). Das Kapselh\u00e4matom zeigte sich unter einer Watch-and-wait-Strategie ohne sekund\u00e4re Drainage regredient. <\/jats:p>","DOI":"10.1055\/a-2003-9694","type":"journal-article","created":{"date-parts":[[2023,2,4]],"date-time":"2023-02-04T00:01:09Z","timestamp":1675468869000},"page":"1494-1499","source":"Crossref","is-referenced-by-count":1,"title":["Akute nekrotisierende Pankreatitis mit h\u00e4morrhagischem Schock bei sekund\u00e4rer Milzruptur: Ein Fallbericht und Literatur\u00fcbersicht"],"prefix":"10.1055","volume":"61","author":[{"given":"Leon","family":"Kaiser","sequence":"additional","affiliation":[{"name":"Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center G\u00f6ttingen, G\u00f6ttingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8318-0315","authenticated-orcid":false,"given":"Golo","family":"Petzold","sequence":"additional","affiliation":[{"name":"Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center G\u00f6ttingen, G\u00f6ttingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Seif Amir Hosseini","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Diagnostische und Interventionelle Radiologie der Universit\u00e4tsmedizin G\u00f6ttingen, G\u00f6ttingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Ellenrieder","sequence":"additional","affiliation":[{"name":"Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center G\u00f6ttingen, G\u00f6ttingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albrecht","family":"Neesse","sequence":"additional","affiliation":[{"name":"Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center G\u00f6ttingen, G\u00f6ttingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Ammer-Herrmenau","sequence":"additional","affiliation":[{"name":"Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center G\u00f6ttingen, G\u00f6ttingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,2,3]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2022\/8743118","article-title":"Association of Atraumatic Splenic Rupture and Acute Pancreatitis: Case Report with Literature Review","volume":"2022","author":"L Ljubicic","year":"2022","journal-title":"Cas Rep Surg"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e19936","DOI":"10.7759\/cureus.19936","article-title":"A Rare Case of Atraumatic Splenic Rupture Due to Chronic Pancreatitis","volume":"13","author":"R 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