Splenic injury: A rare complication of endoscopic retrograde cholangiopancreatography

Nicholas Zyromski, Cathi M. Camp

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Splenic injury is an extremely rare complication after endoscopic retrograde cholangiopancreatography (ERCP); to our knowledge, only seven such cases have previously been reported in the literature. Though the mechanism of splenic injury after ERCP is unclear, "bowing" of the endoscope in the "long position" with torsion on the greater curvature of the stomach may lead to splenic vascular or capsular avulsion. Other contributing factors potentially include excessive manipulation of the duodenoscope (particularly with difficulty cannulating the ampulla of Vater or common bile duct), excessive manipulation of the patient during the procedure, or the presence of intra-abdominal adhesions. As ERCP is being employed more frequently for the diagnosis and treatment of pancreatico-biliary disease, clinicians must be aware of this rare but potentially lethal complication to allow for early accurate diagnosis and therapy.

Original languageEnglish (US)
Pages (from-to)737-739
Number of pages3
JournalAmerican Surgeon
Volume70
Issue number8
StatePublished - 2004
Externally publishedYes

Fingerprint

Endoscopic Retrograde Cholangiopancreatography
Wounds and Injuries
Duodenoscopes
Ampulla of Vater
Endoscopes
Common Bile Duct
Secondary Prevention
Blood Vessels
Early Diagnosis
Stomach
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Splenic injury : A rare complication of endoscopic retrograde cholangiopancreatography. / Zyromski, Nicholas; Camp, Cathi M.

In: American Surgeon, Vol. 70, No. 8, 2004, p. 737-739.

Research output: Contribution to journalArticle

@article{5dbe8c03f144441899aa5352a7942ebf,
title = "Splenic injury: A rare complication of endoscopic retrograde cholangiopancreatography",
abstract = "Splenic injury is an extremely rare complication after endoscopic retrograde cholangiopancreatography (ERCP); to our knowledge, only seven such cases have previously been reported in the literature. Though the mechanism of splenic injury after ERCP is unclear, {"}bowing{"} of the endoscope in the {"}long position{"} with torsion on the greater curvature of the stomach may lead to splenic vascular or capsular avulsion. Other contributing factors potentially include excessive manipulation of the duodenoscope (particularly with difficulty cannulating the ampulla of Vater or common bile duct), excessive manipulation of the patient during the procedure, or the presence of intra-abdominal adhesions. As ERCP is being employed more frequently for the diagnosis and treatment of pancreatico-biliary disease, clinicians must be aware of this rare but potentially lethal complication to allow for early accurate diagnosis and therapy.",
author = "Nicholas Zyromski and Camp, {Cathi M.}",
year = "2004",
language = "English (US)",
volume = "70",
pages = "737--739",
journal = "American Surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "8",

}

TY - JOUR

T1 - Splenic injury

T2 - A rare complication of endoscopic retrograde cholangiopancreatography

AU - Zyromski, Nicholas

AU - Camp, Cathi M.

PY - 2004

Y1 - 2004

N2 - Splenic injury is an extremely rare complication after endoscopic retrograde cholangiopancreatography (ERCP); to our knowledge, only seven such cases have previously been reported in the literature. Though the mechanism of splenic injury after ERCP is unclear, "bowing" of the endoscope in the "long position" with torsion on the greater curvature of the stomach may lead to splenic vascular or capsular avulsion. Other contributing factors potentially include excessive manipulation of the duodenoscope (particularly with difficulty cannulating the ampulla of Vater or common bile duct), excessive manipulation of the patient during the procedure, or the presence of intra-abdominal adhesions. As ERCP is being employed more frequently for the diagnosis and treatment of pancreatico-biliary disease, clinicians must be aware of this rare but potentially lethal complication to allow for early accurate diagnosis and therapy.

AB - Splenic injury is an extremely rare complication after endoscopic retrograde cholangiopancreatography (ERCP); to our knowledge, only seven such cases have previously been reported in the literature. Though the mechanism of splenic injury after ERCP is unclear, "bowing" of the endoscope in the "long position" with torsion on the greater curvature of the stomach may lead to splenic vascular or capsular avulsion. Other contributing factors potentially include excessive manipulation of the duodenoscope (particularly with difficulty cannulating the ampulla of Vater or common bile duct), excessive manipulation of the patient during the procedure, or the presence of intra-abdominal adhesions. As ERCP is being employed more frequently for the diagnosis and treatment of pancreatico-biliary disease, clinicians must be aware of this rare but potentially lethal complication to allow for early accurate diagnosis and therapy.

UR - http://www.scopus.com/inward/record.url?scp=4544304201&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=4544304201&partnerID=8YFLogxK

M3 - Article

C2 - 15328812

AN - SCOPUS:4544304201

VL - 70

SP - 737

EP - 739

JO - American Surgeon

JF - American Surgeon

SN - 0003-1348

IS - 8

ER -