Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 26, 2024; 12(24): 5613-5621
Published online Aug 26, 2024. doi: 10.12998/wjcc.v12.i24.5613
Splenic subcapsular hematoma following endoscopic retrograde cholangiopancreatography: A case report and review of literature
Chen-Yu Guo, Yu-Xia Wei
Chen-Yu Guo, Yu-Xia Wei, Department of Gastroenterology, Inner Mongolia Autonomous Region Hospital of Traditional Chinese Medicine, Hohhot 010000, Inner Mongolia Autonomous Region, China
Chen-Yu Guo, Yu-Xia Wei, Graduate School, Inner Mongolia Medical University, Hohhot 010000, Inner Mongolia Autonomous Region, China
Author contributions: Guo CY collected clinical data on patients, searched for similar published cases, and wrote the paper; Wei YX designed the study, participated in endoscopic retrograde cholangiopancreatography, and supervised the writing of the paper. Both authors have read and approved the final manuscript.
Supported by Natural Science Foundation of Inner Mongolia Autonomous Region, No. 2024 LHMS08053.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: Https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yu-Xia Wei, MD, Chief Physician, Department of Gastroenterology, Inner Mongolia Autonomous Region Hospital of Traditional Chinese Medicine, No. 11 Health Street, Xincheng District, Hohhot 010000, Inner Mongolia Autonomous Region, China. weiyuxia2009@126.com
Received: April 6, 2024
Revised: June 21, 2024
Accepted: June 27, 2024
Published online: August 26, 2024
Processing time: 95 Days and 23.1 Hours
Abstract
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.

Keywords: Endoscopic retrograde cholangiopancreatography, Gastroenterology, Splenic injury, Hematoma, Case report

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.