Medline ® Abstract for Reference 86
of 'Rare complications of endoscopic retrograde cholangiopancreatography (ERCP)'
A dangerous loop.
Ahmad S, Bragg D, Zaitoun AM, Lobo DN
Clin Case Rep. 2016;4(5):535. Epub 2016 Apr 15.
A 76-year-old man developed a hemoperitoneum after ERCP for choledocholithiasis. He underwent a laparotomy and splenectomy for a capsular tear at the splenic hilum, a rare complication of ERCP. "Bowing" of the endoscope with torsion on the greater curvature of the stomach may lead to shear forces causing splenic injury.
Gastroenterology National Institute for Health Research Nottingham Digestive Diseases Biomedical Research Unit Nottingham University Hospitals and University of Nottingham Queen's Medical Centre Nottingham UK.