title: Splenic injury complicating ERCP.
abstract: Endoscopic retrograde cholangiopancreatography (ERCP) is an invasive procedure which carries a complication rate of 5-10%. Splenic injury is a very rare and potentially lethal complication following ERCP. We report a case of a 64-year-old man with a mass at the pancreatic head and obstructive jaundice, who sustained a splenic injury following ERCP. Six hours after the procedure, the patient presented with epigastric pain and hypotension. The abdominal CT scan revealed splenic hematoma. He was offered surgical treatment. Splenectomy was performed with enterogastrostomy.
authors.affiliation: Department of Gastroenterology (Anastasios Grammatopoulos, Maria Moschou, George Katsoras).
authors.forename: Anastasios
authors.initials: A
authors.lastname: Grammatopoulos
authors.affiliation: Department of Gastroenterology (Anastasios Grammatopoulos, Maria Moschou, George Katsoras).
authors.forename: Maria
authors.initials: M
authors.lastname: Moschou
authors.affiliation: Department of Anesthesiology (Efrossyni Rigopoulou), Metropolitan Hospital, Athens, Greece.
authors.forename: Efrossyni
authors.initials: E
authors.lastname: Rigopoulou
authors.affiliation: Department of Gastroenterology (Anastasios Grammatopoulos, Maria Moschou, George Katsoras).
authors.forename: George
authors.initials: G
authors.lastname: Katsoras
keywords: ERCP; Splenic injury; splenectomy
references.citation: Gastrointest Endosc. 1993 Nov-Dec;39(6):824-7
references.pmid: 8293913
references.citation: Gastrointest Endosc. 1991 Nov-Dec;37(6):632-3
references.pmid: 1756925
references.citation: Hong Kong Med J. 2008 Apr;14(2):145-7
references.pmid: 18382023
references.citation: Surg Endosc. 1994 Jun;8(6):692-3
references.pmid: 8059310
references.citation: Case Rep Gastroenterol. 2012 Jan;6(1):162-5
references.pmid: 22679404
references.citation: Endoscopy. 1991 Sep;23(5):302-4
references.pmid: 1743138
references.citation: J Gastrointestin Liver Dis. 2009 Mar;18(1):73-82
references.pmid: 19337638
references.citation: Can J Anaesth. 2002 Aug-Sep;49(7):756-7
references.pmid: 12193500
references.citation: Surg Endosc. 1993 Jul-Aug;7(4):343-4
references.pmid: 8351610
references.citation: Acta Chir Scand. 1989;155(1):75-6
references.pmid: 2929211
references.citation: Am Surg. 2004 Aug;70(8):737-9
references.pmid: 15328812
references.citation: JSLS. 2004 Jul-Sep;8(3):275-7
references.pmid: 15347118
references.citation: JSLS. 2001 Apr-Jun;5(2):171-3
references.pmid: 11394431
references.citation: JOP. 2011 May 06;12(3):287-91
references.pmid: 21546711
references.citation: Radiographics. 2001 Nov-Dec;21(6):1441-53
references.pmid: 11706215