Al Momani Laith, Karar Shoura, Shipley Lindsey C, Locke Allison, Swenson James
East Tennessee State University, Johnson City, TN, USA.
University Hospital of Southampton, Southampton, UK.
J Investig Med High Impact Case Rep. 2018 Jun 17;6:2324709618779417. doi: 10.1177/2324709618779417. eCollection 2018 Jan-Dec.
Endoscopic retrograde cholangiopancreatography (ERCP) is an invasive procedure with significant complications. Splenic hematoma is an extremely rare but known complication following ERCP that has been increasingly reported in the past several years. We report the case of a 44-year-old patient with a history of sleeve gastrectomy who underwent an ERCP that was complicated by both acute pancreatitis and splenic hematoma. She was managed conservatively under close monitoring in the intensive care unit. Clinicians should be aware of this potentially life-threatening complication to make a prompt diagnosis and begin early appropriate management.
内镜逆行胰胆管造影术（ERCP）是一种有显著并发症的侵入性操作。脾血肿是ERCP术后一种极其罕见但已知的并发症，在过去几年中报告越来越多。我们报告一例44岁有袖状胃切除术病史的患者，其接受ERCP术后并发急性胰腺炎和脾血肿。她在重症监护病房密切监测下接受保守治疗。临床医生应意识到这种潜在的危及生命的并发症，以便及时诊断并尽早开始适当治疗。
