Rotura esplénica durante colangiopancreato-grafía retrógrada endoscópica

Sáenz, Manuel Cortiñas; Hermosos, G Maldonado; Llama, Jose Ignacio Miota de; Planas, J.M. Moreno; Lopez, Joseph

doi:10.4321/s1130-01082010000700016

Cited by 6 publications

(3 citation statements)

References 4 publications

(10 reference statements)

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“… 25 The referred factors act by reducing the available space for endoscopic movements, increasing the duration of ERCP, multiplying the number of maneuvers needed for the proper cannulation, and increasing the direct forces transmitted to the surrounding tissues resulting in increased chances of a splenic injury. Moreover, the anticoagulation therapy 9 , 23 , 27 , 30 (4/34) and stomach insufflation/overinflation during ERCP 6 , 31 appear to escalate the danger of ERCP-induced splenic trauma. Pancreatitis, 4 , 16 especially chronic pancreatitis, 5 , 12 , 31 – 33 (7/34) is also referred to as a possible risk factor.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic retrograde cholangiopancreatography induced splenic injury: comprehensive analysis and new perspectives based on a case report

Kourdakis,

Deftereos

2024

Clin Med Insights Gastroenterol

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Splenic injury is an extremely rare complication of endoscopic retrograde cholangiopancreatography (ERCP). There are only 34 cases reported in the literature up to now. Based on a case of a 72-year-old man, who after ERCP due to choledocholithiasis developed a large perisplenic and subcapsular hematoma, we carried out an extensive review of all cases of ERCP-induced splenic injury found in the literature. We searched PubMed/Medline and Google Scholar till 15 April 2023, for published case reports and series using the following terms: splenic injury after ERCP, ERCP-induced splenic injury, and post-ERCP splenic trauma. The case reports included were in English, Spanish, and German literature. We attempt to discuss the possible clinical image, the available diagnostic methods, the potential treatment alternatives, and predisposing factors related to this entity. Furthermore, a theory of a possible mechanism of this injury is discussed and supported schematically. The ERCP-induced splenic injury is rare and a high index of suspicion is needed for diagnosis. Therefore, we present two diagnostic algorithms, which according to our opinion may assist the evaluation of this complication and lead to early accurate diagnosis and appropriate management. Collectively, our findings support that although ERCP-induced splenic injury is an unexpected/unusual complication of ERCP, following the proper steps can be timely diagnosed and treated.

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Section: Discussionmentioning

confidence: 99%

Endoscopic retrograde cholangiopancreatography induced splenic injury: comprehensive analysis and new perspectives based on a case report

Kourdakis,

Deftereos

2024

Clin Med Insights Gastroenterol

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“…The typical presentation may include abdominal pain with or without signs of peritonitis (often left upper quadrant and epigastric), hypotension and/or tachycardia [1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19]. Fever was found in only 1 case who represented 10 days later – in the setting of a previously known splenic haematoma that became secondarily infected from a skin source and turned into an abscess [14].…”

Section: Discussionmentioning

confidence: 99%

“…The procedure carries with it several well-recognised complications, as well as other much less common ones such as splenic injury, which can be associated with significant morbidity or mortality. Since the first reported case of post-ERCP splenic injury in 1989, there have been a total of only 19 cases reported to date in the English, German and Spanish literature [1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19]. Herein, we report on a patient who had a peri-splenic haematoma following ERCP and was successfully managed conservatively.…”

Section: Introductionmentioning

confidence: 99%

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

Lee

Huelsen

Saad

et al. 2017

Case Rep Gastroenterol

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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.

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Hemorrhagic complications following endoscopic retrograde cholangiopancreatography

Ghoz

Dayyeh

2014

Techniques in Gastrointestinal Endoscopy

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Rotura esplénica durante colangiopancreato-grafía retrógrada endoscópica

Abstract: Palabras clave: Complicación tras CPRE. Lesión bazo. Hematoma subcapsular esplénico.

Cited by 6 publications

References 4 publications

Endoscopic retrograde cholangiopancreatography induced splenic injury: comprehensive analysis and new perspectives based on a case report

Endoscopic retrograde cholangiopancreatography induced splenic injury: comprehensive analysis and new perspectives based on a case report

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

Hemorrhagic complications following endoscopic retrograde cholangiopancreatography

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