Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2012 Jan;6(1):162-5.
doi: 10.1159/000337499. Epub 2012 Mar 31.

Splenic Injury and ERCP: A Possible Risk for Patients with Advanced Chronic Pancreatitis

Ryan R Gaffney  1 , Vishal Jain, Matthew T Moyer
Affiliations
Case Reports

Splenic Injury and ERCP: A Possible Risk for Patients with Advanced Chronic Pancreatitis

Ryan R Gaffney et al. Case Rep Gastroenterol. 2012 Jan.

Abstract

Splenic injury is a rare but potentially life-threatening complication of endoscopy, with very few cases of endoscopic retrograde cholangiopancreatography (ERCP)-induced injury reported in the literature. Here we report a patient with chronic alcoholic pancreatitis who was diagnosed with a sub-capsular splenic laceration nearly 6 days after an ERCP. Clinicians should be alerted to the potential post-procedure complications associated with ERCP, particularly as this procedure is being utilized more frequently for the management of patients with complex hepatobiliary and pancreatic conditions.

Keywords: Chronic pancreatitis; Endoscopic retrograde cholangiopancreatography; Hematoma; Splenic injury.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Axial (a) and frontal (b) CT scan views revealing a large splenic laceration with associated sub-capsular fluid collection (arrows), measuring 9.7 × 5.8 cm in axial dimension, without evidence of acute extravasation.
Fig. 2
Fig. 2
Venous axial series CT scan demonstrating findings of chronic pancreatitis as evident by marked pancreatic calcifications (solid arrows) and a dilated common bile duct (dashed arrow) after stent placement during ERCP.
See this image and copyright information in PMC

References

    1. Aliperti G. Complications related to diagnostic and therapeutic endoscopic retrograde cholangiopancreatography. Gastrointest Endosc Clin N Am. 1996;6:379–407. - PubMed
    1. Pannu HK, Fishman EK. Complications of endoscopic retrograde cholangiopancreatography: spectrum of abnormalities demonstrated with CT. Radiographics. 2001;21:1441–1453. - PubMed
    1. Ahmed A, Eller PM, Schiffman FJ. Splenic rupture: an unusual complication of colonoscopy. Am J Gastroenterol. 1997;92:1201–1204. - PubMed
    1. Trondsden E, Rosseland AR, Moer A, et al. Rupture of the spleen following endoscopic retrograde cholangiopancreatography (ERCP) Acta Chir Scand. 1989;155:75–76. - PubMed
    1. Ong E, Bohmler U, Wurbs D. Splenic injury as a complication of endoscopy: two case reports and a literature review. Endoscopy. 1991;23:302–304. - PubMed

Publication types