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
. 2020 Nov 4;14(3):604-608.
doi: 10.1159/000509737. eCollection 2020 Sep-Dec.

An Unexpected Complication of Endoscopic Retrograde Cholangiopancreatography with a Novel Treatment Approach

Jeremy Polman  1 , Aaron C Williams  1 , Gaetano Ruggiero  1 , Aaron DeWitt  1
Affiliations
Case Reports

An Unexpected Complication of Endoscopic Retrograde Cholangiopancreatography with a Novel Treatment Approach

Jeremy Polman et al. Case Rep Gastroenterol. .

Abstract

Splenic injury after endoscopic retrograde cholangiopancreatography (ERCP) has been documented in less than 30 cases. Here, we present a case that involves a 52-year-old male with choledocholithiasis who developed a splenic injury and major hemorrhage immediately after ERCP. The patient ultimately required splenic artery embolization without splenectomy, a novel treatment approach. The case demonstrates the importance of having a high index of suspicion of this rare complication as well as discusses potential causes of post-ERCP splenic injury and a treatment approach that does not involve splenectomy.

Keywords: Choledocholithiasis; Endoscopic retrograde cholangiopancreatography; Gastroenterology; Splenic artery embolization; Splenic injury.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
Coronal slice of CT abdomen and pelvis demonstrating large splenic hematoma post-ERCP with splenic artery embolization.
Fig. 2
Fig. 2
Anterior-posterior slice of CT abdomen and pelvis demonstrating large splenic hematoma post-ERSP with splenic artery embolization.
See this image and copyright information in PMC

References

    1. Pannu HK, Fishman EK. Complications of endoscopic retrograde cholangiopancreatography: spectrum of abnormalities demonstrated with CT. Radiographics. 2001 Nov-Dec;21((6)):1441–53. - PubMed
    1. Aliperti G. Complications related to diagnostic and therapeutic endoscopic retrograde cholangiopancreatography. Gastrointest Endosc Clin N Am. 1996 Apr;6((2)):379–407. - PubMed
    1. Cotton PB, Garrow DA, Gallagher J, Romagnuolo J. Risk factors for complications after ERCP: a multivariate analysis of 11,497 procedures over 12 years. Gastrointest Endosc. 2009 Jul;70((1)):80–8. - PubMed
    1. Al Momani L, Karar S, Shipley LC, Locke A, Swenson J. Endoscopic Retrograde Cholangiopancreatography-Induced Splenic Injury in a Patient With Sleeve Gastrectomy. J Investig Med High Impact Case Rep. 2018 Jun;6:2324709618779417. - PMC - PubMed
    1. Lee R, Huelsen A, Saad N, Hodgkinson P, Hourigan LF. Splenic Injury Following Endoscopic Retrograde Cholangiopancreatography: A Case Report and Literature Review. Case Rep Gastroenterol. 2017 Apr;11((1)):241–9. - PMC - PubMed

Publication types