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Medline ® Abstract for Reference 86

of 'Rare complications of endoscopic retrograde cholangiopancreatography (ERCP)'

86
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A dangerous loop.
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Ahmad S, Bragg D, Zaitoun AM, Lobo DN
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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.
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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.
PMID