Rotura esplénica tras colangiopancreatografía retrógrada endoscópica

García, Alba Cebrián; Arrastia, A. Rico; Carnicer, B. González de la Higuera; García, David Ruiz-Clavijo; Condón, Soledad Montón; Sainz, Ignacio Fernández-Urién

doi:10.1016/j.gastrohep.2020.11.022

Cited by 2 publications

(1 citation statement)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…From all reviewed cases, many predisposing factors are referred to play an important role in post-ERCP splenic injury. These factors include altered anatomy from previous major surgeries such as left hepatectomy, 28 sleeve gastrectomy, 24 liver transplant, 26 Billroth I gastrectomy, 10 or other anatomic reasons such as cascade stomach 17 and small intra-abdominal cavity, 15 pancreatic head masses 8 , 13 and duodenal masses narrowing the duodenum lumen, pyloric stenosis, 8 , 22 , 29 and requirement of prolonged loop position to achieve cannulation. 25 The referred factors act by reducing the available space for endoscopic movements, increasing the duration of ERCP, multiplying the number of maneuvers needed for the proper cannulation, and increasing the direct forces transmitted to the surrounding tissues resulting in increased chances of a splenic injury.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic retrograde cholangiopancreatography induced splenic injury: comprehensive analysis and new perspectives based on a case report

Kourdakis,

Deftereos

2024

Clin Med Insights Gastroenterol

View full text Add to dashboard Cite

Splenic injury is an extremely rare complication of endoscopic retrograde cholangiopancreatography (ERCP). There are only 34 cases reported in the literature up to now. Based on a case of a 72-year-old man, who after ERCP due to choledocholithiasis developed a large perisplenic and subcapsular hematoma, we carried out an extensive review of all cases of ERCP-induced splenic injury found in the literature. We searched PubMed/Medline and Google Scholar till 15 April 2023, for published case reports and series using the following terms: splenic injury after ERCP, ERCP-induced splenic injury, and post-ERCP splenic trauma. The case reports included were in English, Spanish, and German literature. We attempt to discuss the possible clinical image, the available diagnostic methods, the potential treatment alternatives, and predisposing factors related to this entity. Furthermore, a theory of a possible mechanism of this injury is discussed and supported schematically. The ERCP-induced splenic injury is rare and a high index of suspicion is needed for diagnosis. Therefore, we present two diagnostic algorithms, which according to our opinion may assist the evaluation of this complication and lead to early accurate diagnosis and appropriate management. Collectively, our findings support that although ERCP-induced splenic injury is an unexpected/unusual complication of ERCP, following the proper steps can be timely diagnosed and treated.

show abstract

Section: Discussionmentioning

confidence: 99%

Endoscopic retrograde cholangiopancreatography induced splenic injury: comprehensive analysis and new perspectives based on a case report

Kourdakis,

Deftereos

2024

Clin Med Insights Gastroenterol

View full text Add to dashboard Cite

show abstract

Splenic subcapsular hematoma following endoscopic retrograde cholangiopancreatography: A case report and review of literature

Guo,

Wei

2024

World J Clin Cases

View full text Add to dashboard Cite

BACKGROUND Splenic injury following endoscopic retrograde cholangiopancreatography (ERCP) is a rare complication. The literature contains around 30 articles reporting various degrees of splenic injuries resulting from ERCP since the first report of splenic rupture after ERCP in 1989. CASE SUMMARY This report describes a case of splenic hematoma and stent displacement in a 69-year-old male patient who developed these conditions 7 days after undergoing ERCP and stenting. The patient had bile duct stenosis caused by a malignant tumor that was obstructing the bile duct. The diagnosis was confirmed by epigastric computed tomography and magnetic resonance cholangiopancreatography. The patient was successfully treated with percutaneous transhepatic cholangial drainage, endoscopic pyloric stent placement, and conservative management. The causes of splenic injury following ERCP are discussed. CONCLUSION ERCP has the potential to cause splenic injury. If a patient experiences symptoms such as abdominal pain, decreased blood pressure, and altered hematology after the procedure, it's important to be thoroughly investigated for postoperative bleeding and splenic injury.

show abstract

Rotura esplénica tras colangiopancreatografía retrógrada endoscópica

Cited by 2 publications

References 2 publications

Endoscopic retrograde cholangiopancreatography induced splenic injury: comprehensive analysis and new perspectives based on a case report

Endoscopic retrograde cholangiopancreatography induced splenic injury: comprehensive analysis and new perspectives based on a case report

Splenic subcapsular hematoma following endoscopic retrograde cholangiopancreatography: A case report and review of literature

Contact Info

Product

Resources

About