scholarly journals Splenic Injury Following Endoscopic Retrograde Cholangiopancreatography: A Case Report and Literature Review

2017 ◽  
Vol 11 (1) ◽  
pp. 241-249 ◽  
Author(s):  
Richard Lee ◽  
Alexander Huelsen ◽  
Nivene Saad ◽  
Peter Hodgkinson ◽  
Luke F. Hourigan
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Spanish Literature ◽  
Splenic Injury ◽  
Rare Complication ◽  
Treatment Options ◽  
Mirizzi Syndrome ◽  
Clinical Suspicion ◽  
Fatal Complication ◽  
Endoscopic Retrograde ◽  
The Past

Splenic injury following endoscopy is a rare but potentially fatal complication. While this has been found to occur more frequently after colonoscopy, splenic injury following endoscopic retrograde cholangiopancreatography (ERCP) remains highly uncommon since its first reported case in 1989. Indeed, there have been only 19 such cases reported in the English, German, and Spanish literature collectively over the past 27 years. We report on a 59-year-old woman who developed a peri-splenic haematoma diagnosed on abdominal computed tomography the day following ERCP and stenting for Mirizzi syndrome. The patient was treated conservatively and made a full recovery. We reviewed all cases of post-ERCP splenic injuries reported to date and discuss the published opinions on the likely mechanism of injury, predisposing factors, presenting features, investigation, and treatment options. Ultimately, patient outcome relies on clinical suspicion of this rare complication following ERCP.

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

2020 ◽  
Vol 14 (3) ◽  
pp. 604-608
Author(s):  
Jeremy Polman ◽  
Aaron C. Williams ◽  
Gaetano Ruggiero ◽  
Aaron DeWitt
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Splenic Injury ◽  
Treatment Approach ◽  
Rare Complication ◽  
Artery Embolization ◽  
Endoscopic Retrograde ◽  
Splenic Artery Embolization ◽  
Major Hemorrhage ◽  
Novel Treatment ◽  
High Index Of Suspicion

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.

scholarly journals Splenic Hematoma as a Rare Complication of Endoscopic Retrograde Cholangiopancreatography

2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Kulvinder S Bajwa ◽  
Anirudh K Madabhushi ◽  
Nadim Jafri ◽  
Shinil K Shah ◽  
Melissa M Felinski
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Rare Complication ◽  
Endoscopic Retrograde ◽  
Splenic Hematoma

Hepatic artery pseudoaneurysm secondary to a cholangitic abscess and its spontaneous thrombosis

2021 ◽  
Vol 14 (11) ◽  
pp. e247304
Author(s):  
Maninder Kaur ◽  
Harsimran Bhatia ◽  
Gaurav Muktesh ◽  
Pankaj Gupta
Keyword(s):  
Hepatic Artery ◽  
Liver Abscess ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Rare Complication ◽  
Gallstone Disease ◽  
Biliary System ◽  
Endoscopic Retrograde ◽  
Spontaneous Thrombosis ◽  
Artery Pseudoaneurysm ◽  
Hepatic Artery Pseudoaneurysm

Hepatic artery pseudoaneurysm (HAP) is mostly encountered secondary to trauma or iatrogenic causes. HAP associated with cholangitic liver abscess is a rare complication. We present a case of gallstone disease and choledocholithiasis who developed moderate cholangitis and a liver abscess. A small HAP was detected incidentally on a biphasic CT done to evaluate the biliary system. Repeat CT after management with endoscopic retrograde cholangiopancreatography and antibiotics showed resolution of cholangitic abscess with spontaneous thrombosis of HAP.

scholarly journals An unusual experience with endoscopic retrograde cholangiopancreatography

2013 ◽  
Vol 04 (04) ◽  
pp. 114-116 ◽  
Author(s):  
Mallikarjun Patil ◽  
Keyur A. Sheth ◽  
C. K. Adarsh ◽  
B. Girisha
Keyword(s):  
Gastrointestinal Tract ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Guide Wire ◽  
Rare Complication ◽  
Endoscopic Retrograde ◽  
Endoscopic Procedures ◽  
Hepatic Hematoma ◽  
Hemorrhagic Complications ◽  
Life Threatening ◽  
Therapeutic Utility

AbstractThe endoscopic retrograde cholangiopancreatography (ERCP) is known for its varied diagnostic and therapeutic utility for a variety of disorders. However it has greater likelihood of procedure related complications among the endoscopic procedures of gastrointestinal tract. The extraluminal hemorrhagic complications following ERCP are potentially life threatening though relatively rare. We present a 50 year patient with choledocholithiasis and cholelithiasis developing rare complication of subcapsular hepatic hematoma, following ERCP due to guide wire injury.

Subcapsular hepatic haematoma after endoscopic retrograde cholangiopancreatography. A rare complication with high morbidity and mortality

2019 ◽  
Vol 42 (1) ◽  
pp. 23-27
Author(s):  
Jon de la Maza Ortiz ◽  
Seila García Mulas ◽  
Juan Carlos Ávila Alegría ◽  
Javier García Lledó ◽  
Leticia Pérez Carazo ◽  
...  
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Rare Complication ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Endoscopic Retrograde ◽  
Hepatic Haematoma

Splenic Rupture: An Unusual Complication of Colonoscopy

2007 ◽  
Vol 73 (4) ◽  
pp. 393-396 ◽  
Author(s):  
Stefan Holubar ◽  
Amit Dwivedi ◽  
J. Eisendorfer ◽  
R. Levine ◽  
R. Strauss
Keyword(s):  
Hemorrhagic Shock ◽  
Splenic Injury ◽  
Early Recognition ◽  
Rare Complication ◽  
Treatment Options ◽  
Unusual Complication ◽  
Angiographic Embolization ◽  
Diagnostic Colonoscopy ◽  
Life Threatening ◽  
Therapeutic Colonoscopy

Splenic injury is a known, albeit rare, complication of diagnostic and therapeutic colonoscopy. Within a 6-month period, we observed two colonoscopic splenic injuries. We report these two cases of splenic injury who presented differently after colonoscopy: one presented as frank hemorrhagic shock, and the other as a subacute splenic hemorrhage with symptomatic anemia. The first patient presented with hemorrhagic shock several hours after a diagnostic colonoscopy and required an emergency splenectomy. The second patient presented with symptomatic anemia several days after a diagnostic colonoscopy and was treated by angiographic embolization. Clinical presentation and discussion of the mechanisms of injury, available treatment options, and strategies for preventing colonoscopic splenic injuries are presented. Awareness of this complication is paramount in early recognition and management of this potentially life-threatening injury.

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