Splenic subcapsular hematoma following endoscopic retrograde cholangiopancreatography:A case report and review of literature  

作　　者：Chen-Yu Guo Yu-Xia Wei 

机构地区：[1]Department of Gastroenterology,Inner Mongolia Autonomous Region Hospital of Traditional Chinese Medicine,Hohhot 010000,Inner Mongolia Autonomous Region,China [2]Graduate School,Inner Mongolia Medical University,Hohhot 010000,Inner Mongolia Autonomous Region,China

出　　处：《World Journal of Clinical Cases》2024年第24期5613-5621,共9页世界临床病例杂志

基　　金：Natural Science Foundation of Inner Mongolia Autonomous Region,No.2024 LHMS08053.

摘　　要：BACKGROUND Splenic injury following endoscopic retrograde cholangiopancreatography(ERCP)is a rare complication.The literature contains around 30 articles reporting various degrees of splenic injuries resulting from ERCP since the first report of splenic rupture after ERCP in 1989.CASE SUMMARY This report describes a case of splenic hematoma and stent displacement in a 69-year-old male patient who developed these conditions 7 days after undergoing ERCP and stenting.The patient had bile duct stenosis caused by a malignant tumor that was obstructing the bile duct.The diagnosis was confirmed by epigastric computed tomography and magnetic resonance cholangiopancreatography.The patient was successfully treated with percutaneous transhepatic cholangial drainage,endoscopic pyloric stent placement,and conservative management.The causes of splenic injury following ERCP are discussed.CONCLUSION ERCP has the potential to cause splenic injury.If a patient experiences symptoms such as abdominal pain,decreased blood pressure,and altered hematology after the procedure,it's important to be thoroughly investigated for postoperative bleeding and splenic injury.

关 键 词：Endoscopic retrograde cholangiopancreatography GASTROENTEROLOGY Splenic injury HEMATOMA Case report 

分 类 号：R657.4[医药卫生—外科学]