Splenic Injury and ERCP: A Possible Risk for Patients with Advanced Chronic Pancreatitis.
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.
Department of Internal Medicine, Penn State Hershey Medical Center, Hershey, Pa., USA.
Ryan R
RR
Gaffney
Vishal
V
Jain
Matthew T
MT
Moyer