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. 2018 Jun 17:6:2324709618779417.
doi: 10.1177/2324709618779417. eCollection 2018 Jan-Dec.

Endoscopic Retrograde Cholangiopancreatography-Induced Splenic Injury in a Patient With Sleeve Gastrectomy

Laith Al Momani  1 , Shoura Karar  2 , Lindsey C Shipley  1 , Allison Locke  1 , James Swenson  1
Affiliations

Endoscopic Retrograde Cholangiopancreatography-Induced Splenic Injury in a Patient With Sleeve Gastrectomy

Laith Al Momani et al. J Investig Med High Impact Case Rep. .

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) is an invasive procedure with significant complications. Splenic hematoma is an extremely rare but known complication following ERCP that has been increasingly reported in the past several years. We report the case of a 44-year-old patient with a history of sleeve gastrectomy who underwent an ERCP that was complicated by both acute pancreatitis and splenic hematoma. She was managed conservatively under close monitoring in the intensive care unit. Clinicians should be aware of this potentially life-threatening complication to make a prompt diagnosis and begin early appropriate management.

Keywords: complications; endoscopic retrograde cholangiopancreatography; sleeve gastrectomy; splenic injury.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Computed tomography scan of the abdomen illustrating a large splenic heterogeneous subcapsular hematoma and peripancreatic stranding, transverse plane.
Figure 2.
Figure 2.
Computed tomography scan of the abdomen illustrating a large splenic heterogeneous subcapsular hematoma and peripancreatic stranding, coronal plane.
See this image and copyright information in PMC

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