Deist T J, Freytag A
Innere Klinik II, Kreiskrankenhaus Aschersleben-Stassfurt.
Z Gastroenterol. 2003 Jun;41(6):579-82. doi: 10.1055/s-2003-39641.
We report on a 52 year old woman, who developed splenic rupture after endoscopic sphincterotomy for multiple biliary stones. After hemorrhagic shock had developed, the diagnosis was established by computed tomography and ultrasound guided paracentesis. The patient was treated by emergency splenectomy. The case report stresses the necessity to be aware of splenic rupture as a rare complication after ERCP. A review of the current literature regarding splenic rupture is provided and mechanisms of splenic trauma and risk factors are discussed.
我们报告了一名52岁女性，她在因多发性胆结石接受内镜括约肌切开术后发生了脾破裂。在出现失血性休克后，通过计算机断层扫描和超声引导下的腹腔穿刺术确诊。患者接受了急诊脾切除术。该病例报告强调了认识到脾破裂是内镜逆行胰胆管造影（ERCP）后一种罕见并发症的必要性。提供了关于脾破裂的当前文献综述，并讨论了脾创伤的机制和危险因素。
