Endoscopic Retrograde Cholangiopancreatography–Induced Splenic Injury in a Patient With Sleeve Gastrectomy

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...

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Main Authors: Laith Al Momani MD, Shoura Karar MD, Lindsey C. Shipley MD, Allison Locke MD, James Swenson MD
Format: Article
Language:English
Published: SAGE Publishing 2018-06-01
Series:Journal of Investigative Medicine High Impact Case Reports
Online Access:https://doi.org/10.1177/2324709618779417
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author Laith Al Momani MD
Shoura Karar MD
Lindsey C. Shipley MD
Allison Locke MD
James Swenson MD
author_facet Laith Al Momani MD
Shoura Karar MD
Lindsey C. Shipley MD
Allison Locke MD
James Swenson MD
author_sort Laith Al Momani MD
collection DOAJ
description 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.
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spelling doaj.art-f6ee0ea8b4d54ebcb6666f28705d4cb82022-12-22T03:38:59ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962018-06-01610.1177/2324709618779417Endoscopic Retrograde Cholangiopancreatography–Induced Splenic Injury in a Patient With Sleeve GastrectomyLaith Al Momani MD0Shoura Karar MD1Lindsey C. Shipley MD2Allison Locke MD3James Swenson MD4East Tennessee State University, Johnson City, TN, USAUniversity Hospital of Southampton, Southampton, UKEast Tennessee State University, Johnson City, TN, USAEast Tennessee State University, Johnson City, TN, USAEast Tennessee State University, Johnson City, TN, USAEndoscopic 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.https://doi.org/10.1177/2324709618779417
spellingShingle Laith Al Momani MD
Shoura Karar MD
Lindsey C. Shipley MD
Allison Locke MD
James Swenson MD
Endoscopic Retrograde Cholangiopancreatography–Induced Splenic Injury in a Patient With Sleeve Gastrectomy
Journal of Investigative Medicine High Impact Case Reports
title Endoscopic Retrograde Cholangiopancreatography–Induced Splenic Injury in a Patient With Sleeve Gastrectomy
title_full Endoscopic Retrograde Cholangiopancreatography–Induced Splenic Injury in a Patient With Sleeve Gastrectomy
title_fullStr Endoscopic Retrograde Cholangiopancreatography–Induced Splenic Injury in a Patient With Sleeve Gastrectomy
title_full_unstemmed Endoscopic Retrograde Cholangiopancreatography–Induced Splenic Injury in a Patient With Sleeve Gastrectomy
title_short Endoscopic Retrograde Cholangiopancreatography–Induced Splenic Injury in a Patient With Sleeve Gastrectomy
title_sort endoscopic retrograde cholangiopancreatography induced splenic injury in a patient with sleeve gastrectomy
url https://doi.org/10.1177/2324709618779417
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