内镜逆行胰胆管造影术并发脾脓肿
Splenic abscess complicating endoscopic retrograde cholangiopancreatography.
作者信息
Haneke Travis, Widmer Andrew J, Metting Austin
机构信息
Department of Medicine, Baylor Scott and White Temple, Temple, Texas.
出版信息
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。
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