![]() The papilla was cannulated and ERCP was performed. Second portion of the duodenum without any difficulty. Replaced with a therapeutic side-viewing duodenoscope (Olympus TJF100), which was advanced into the Gastric pouch with a Billroth I anastomosis. GIF100) was inserted, which revealed a small residual With a complete common bile duct (CBD) obstruction.Īn emergency ERCP was performed the morning afterĪdmission. The common bile duct, gallbladder, and duodenum (HIDA) scan showed a persistent hepatocyte phase. Laboratory studies included a white blood cellĬount of 6,80 0/ml, total bilirubin of 4.7/dl, and alkaline Tenderness in the right upper quadrant of the abdomen, His rectal temperature was 103☏ with a stable blood pressure. Physical examination revealed an elderly male,Īlert, responsive, and well-oriented. Ulcer surgery 14 years ago, but the type of surgery was Splenic injury fromĮRCP is even more unusual, having previously onlyīeen reported twice in the English literature.Ī 79-year-old man was admitted to Beth Israel Medical Center, New York, complaining of 3 days of rightupper-quadrant and epigastric pain and 1 day of chillsĪnd fever. Splenic trauma as a complication of any endoscopic procedures is rare. ![]() The reported major complications include pancreatitis, cholangitis,Ĭardiopulmonary complications, bleeding, and perforations. The overall complication rate is as low as 2.16%. Since 1970 endoscopic retrograde cholangiopancreatography (ERCP) has been employed as a safe diagnostic and therapeutic biliary procedure. Key words: ERCP - Complication - Splenic injury Possible preventive measures are discussed. Reported after ERCP and the mechanism of injury and Rare and only two cases have been reported in theĮnglish literature. Endoscopic retrograde cholangiopancreatography (ERCP) is a safe diagnostic and therapeutic Received: 9 September 1993/Accepted: 27 September 1993Ībstract. Splenic trauma following endoscopic retrogradeīeth Israel Medical Center, Department of Surgery, First Avenue and Sixteenth Street, New York, NY 10003, USA
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