Gaffney Ryan R, Jain Vishal, Moyer Matthew T
Department of Internal Medicine, Penn State Hershey Medical Center, Hershey, Pa., USA.
Case Rep Gastroenterol. 2012 Jan;6(1):162-5. doi: 10.1159/000337499. Epub 2012 Mar 31.
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.
脾损伤是内镜检查中一种罕见但可能危及生命的并发症，文献中报道的内镜逆行胰胆管造影术（ERCP）引起的损伤病例极少。在此，我们报告一例慢性酒精性胰腺炎患者，在ERCP术后近6天被诊断为脾包膜下撕裂伤。临床医生应警惕与ERCP相关的潜在术后并发症，尤其是随着该手术越来越频繁地用于治疗复杂肝胆胰疾病患者。
