Published online Aug 26, 2024. doi: 10.12998/wjcc.v12.i24.5613
Revised: June 21, 2024
Accepted: June 27, 2024
Published online: August 26, 2024
Processing time: 95 Days and 23.1 Hours
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.
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 mana
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.
Core Tip: There are several possible causes of abdominal pain and fever in patients who have undergone endoscopic retrograde cholangiopancreatography (ERCP). One of the potential complications that should not be overlooked is splenic injury. A clear diagnosis can be established based on laboratory and imaging examinations. It is important to closely monitor the patient's condition after ERCP and to promptly address any signs of discomfort.