Haneke Travis, Widmer Andrew J, Metting Austin
Department of Medicine, Baylor Scott and White Temple, Temple, Texas.
Proc (Bayl Univ Med Cent). 2018 Apr 25;31(3):317-318. doi: 10.1080/08998280.2018.1446891. eCollection 2018 Jul.
We present a case of splenic abscess as a probable complication following endoscopic retrograde cholangiopancreatography (ERCP). Based on a literature review, there have been 11 documented cases of splenic injury following ERCP; however, only one of those involved splenic abscess. Proposed mechanisms of injury and abscess are likely a combination of complicating factors, including manipulation of the endoscope in patients with a history of chronic pancreatitis and/or previous abdominal surgeries.
我们报告一例内镜逆行胰胆管造影术（ERCP）后可能出现的并发症——脾脓肿。根据文献综述，已有11例ERCP后脾损伤的记录病例；然而，其中只有1例涉及脾脓肿。推测的损伤和脓肿形成机制可能是多种复杂因素共同作用的结果，包括对有慢性胰腺炎病史和/或既往腹部手术史的患者进行内镜操作。
