内镜逆行胰胆管造影术（ERCP）并发脾损伤

Grammatopoulos Anastasios, Moschou Maria, Rigopoulou Efrossyni, Katsoras George

Department of Gastroenterology (Anastasios Grammatopoulos, Maria Moschou, George Katsoras).

Department of Anesthesiology (Efrossyni Rigopoulou), Metropolitan Hospital, Athens, Greece.

Ann Gastroenterol. 2014;27(2):177-178.

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.

内镜逆行胰胆管造影术（ERCP）是一种侵入性操作，其并发症发生率为5%-10%。脾损伤是ERCP术后一种非常罕见且可能致命的并发症。我们报告一例64岁男性患者，其胰头有肿物并伴有梗阻性黄疸，在ERCP术后发生了脾损伤。术后6小时，患者出现上腹部疼痛和低血压。腹部CT扫描显示脾血肿。患者接受了手术治疗。行脾切除术并加做胃肠吻合术。