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. 2016 Apr 15;4(5):535-6.
doi: 10.1002/ccr3.563. eCollection 2016 May.

A dangerous loop

Saqib Ahmad  1 , Damian Bragg  2 , Abed M Zaitoun  3 , Dileep N Lobo  2
Affiliations

A dangerous loop

Saqib Ahmad et al. Clin Case Rep. .

Abstract

A 76-year-old man developed a hemoperitoneum after ERCP for choledocholithiasis. He underwent a laparotomy and splenectomy for a capsular tear at the splenic hilum, a rare complication of ERCP. "Bowing" of the endoscope with torsion on the greater curvature of the stomach may lead to shear forces causing splenic injury.

Keywords: Adverse event; ERCP; hemorrhage; imaging; splenic injury; surgery.

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Figures

Figure 1
Figure 1
A postresuscitation abdominal CT scan image.
Figure 2
Figure 2
Pathological examination showing a normal‐sized spleen with a capsular tear on the hilar surface and a subcapsular hematoma (A). This was confirmed on histology (B).
See this image and copyright information in PMC

References

    1. Cho, C. L. , Yuen K. K., Yuen C. H., Chong L. C., and Chu R. W.. 2008. Splenic laceration after endoscopic retrograde cholangiopancreatography. Hong Kong Med. J. 14:145–147. - PubMed
    1. Gaffney, R. R. , Jain V., and Moyer M. T.. 2012. Splenic injury and ERCP: a possible risk for patients with advanced chronic pancreatitis. Case Rep. Gastroenterol. 6:162–165. - PMC - PubMed

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