[Spontaneous @entity397 in chronic XXXX ].

@entity1 @entity788 @entity101 @entity39 @entity75 @entity660 @entity397 @entity9007 @entity9440 @entity130
Excepting splenomegaly related to @entity101 , splenic complications observed during the course of chronic @entity788 are uncommon. These may include @entity39 , @entity9007 and @entity9440 . Spontaneous @entity397 is one of the least common events, a total of 29 cases being reported thus far. We present herein 4 new cases, and previously documented cases were reviewed. In our cases, the @entity9440 occurred in young male @entity1 . This complication revealed the @entity660 in one case while in the others, it occurred on the average 7 months after the symptomatic onset of @entity660 . This suggests that this complication occurs early in the natural history of chronic @entity788 . The mechanism of the @entity75 remains unclear, the different causes advanced, mechanic, enzymatic or vascular, are discussed. None of our @entity1 had minimal @entity130 emphasizing the spontaneous character of @entity397 . Diagnosis was a surgical discovery except in one case in which selective arteriography was of most valuable aid in confirming diagnosis preoperatively. Treatment was simple splenectomy in 2 cases and associated with distal pancreatectomy in the 2 other cases. Recovery was uneventful. A corporal @entity9007 was treated at the same time.
