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Splenic Subcapsular Hematoma After Endoscopic Retrograde Cholangiopancreatography

The complications of endoscopic retrograde cholangiopancreatography (ERCP) are numerous and mainly intraluminal. We present a unique case of a patient who developed splenic hematoma after ERCP. A 41-year-old woman was hospitalized for evaluation of chronic abdominal pain, for which she underwent an...

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Autores principales: Boustany, Antoine, Kassab, Joseph, Ramahi, Noor, Onwuzo, Somtochukwu, Acar, Philippe, Asaad, Imad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208697/
https://www.ncbi.nlm.nih.gov/pubmed/37235003
http://dx.doi.org/10.14309/crj.0000000000001052
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author Boustany, Antoine
Kassab, Joseph
Ramahi, Noor
Onwuzo, Somtochukwu
Acar, Philippe
Asaad, Imad
author_facet Boustany, Antoine
Kassab, Joseph
Ramahi, Noor
Onwuzo, Somtochukwu
Acar, Philippe
Asaad, Imad
author_sort Boustany, Antoine
collection PubMed
description The complications of endoscopic retrograde cholangiopancreatography (ERCP) are numerous and mainly intraluminal. We present a unique case of a patient who developed splenic hematoma after ERCP. A 41-year-old woman was hospitalized for evaluation of chronic abdominal pain, for which she underwent an ERCP. The next day, the patient developed hemorrhagic shock. She was found to have a large ruptured subcapsular splenic bleed. Splenic artery embolization was performed, and the patient was stabilized. In conclusion, a high index of suspicion should be kept when managing patients presenting with unstable vital signs and/or acute anemia after ERCP.
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spelling pubmed-102086972023-05-25 Splenic Subcapsular Hematoma After Endoscopic Retrograde Cholangiopancreatography Boustany, Antoine Kassab, Joseph Ramahi, Noor Onwuzo, Somtochukwu Acar, Philippe Asaad, Imad ACG Case Rep J Case Report The complications of endoscopic retrograde cholangiopancreatography (ERCP) are numerous and mainly intraluminal. We present a unique case of a patient who developed splenic hematoma after ERCP. A 41-year-old woman was hospitalized for evaluation of chronic abdominal pain, for which she underwent an ERCP. The next day, the patient developed hemorrhagic shock. She was found to have a large ruptured subcapsular splenic bleed. Splenic artery embolization was performed, and the patient was stabilized. In conclusion, a high index of suspicion should be kept when managing patients presenting with unstable vital signs and/or acute anemia after ERCP. Wolters Kluwer 2023-05-24 /pmc/articles/PMC10208697/ /pubmed/37235003 http://dx.doi.org/10.14309/crj.0000000000001052 Text en © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Boustany, Antoine
Kassab, Joseph
Ramahi, Noor
Onwuzo, Somtochukwu
Acar, Philippe
Asaad, Imad
Splenic Subcapsular Hematoma After Endoscopic Retrograde Cholangiopancreatography
title Splenic Subcapsular Hematoma After Endoscopic Retrograde Cholangiopancreatography
title_full Splenic Subcapsular Hematoma After Endoscopic Retrograde Cholangiopancreatography
title_fullStr Splenic Subcapsular Hematoma After Endoscopic Retrograde Cholangiopancreatography
title_full_unstemmed Splenic Subcapsular Hematoma After Endoscopic Retrograde Cholangiopancreatography
title_short Splenic Subcapsular Hematoma After Endoscopic Retrograde Cholangiopancreatography
title_sort splenic subcapsular hematoma after endoscopic retrograde cholangiopancreatography
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208697/
https://www.ncbi.nlm.nih.gov/pubmed/37235003
http://dx.doi.org/10.14309/crj.0000000000001052
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