Table 1.
Summary of published cases with splenic injuries following ERCP
| First author [Ref.] | Age, years/gender | Comorbid conditions | Intervention (difficulty)a | Time to symptomsb | Pathologic findings | Therapy |
|---|---|---|---|---|---|---|
| Wu [1] | 57/F | Prior abdominal surgery | ERCP (D) | 60 h | Splenic capsular avulsion | Splenectomy |
| Kingsley [2] | 54/F | Chronic pancreatitis, hepatitis C, cirrhosis | ERCP, stent revision (NA) | 24 h | Splenic rupture | Splenectomyc |
| Dixon [3] | 38/M | Chronic pancreatitis | ERCP (D) | Immediately after ERCP | Splenic capsular tear | Splenectomy |
| Weaver [4] | 66/M | Chronic pancreatitis | ERCP (NA) | Overnight | Peri-splenic haematoma | Splenectomy |
| Trondsen [5] | 46/F | Post-ERCP pancreatitis | ERCP, sphincterotomy (D) | 15 h | Decapsulated spleen | Splenectomy |
| Ong [6] | 55/F | CBD stricture, tumour | ERCP (ND) | 48 h | Splenic laceration | Splenectomy |
| Lewis [7] | 63/F | CBD stricture, pancreatic head tumour | ERCP, stenting, biopsy (D) | 9 h | Avulsion of short gastric vessels | Splenectomy |
| Lo [8] | 79/M | Billroth I anastomosis | ERCP, sphincterotomy (ND) | 48 h | Subcapsular haematoma | Conservative |
| Badaoui [9] | 42/M | Nil | ERCP (ND) | 20 min | Splenic laceration | Splenectomy |
| Zyromski [10] | 33/F | Nil | ERCP, sphincterotomy (ND) | 24 h | Avulsion of short gastric vessels | Splenectomy |
| Ahmad [11] | 76/M | Nil | ERCP, sphincterotomy (ND) | 30 min | Splenic capsular tear | Splenectomy |
| Paredes [12] | 39/F | Nil | ERCP, sphincterotomy, stenting (ND) | 1 h | Splenic laceration | Splenectomy |
| Villalobos-Garita [13] | 74/M | Nil | ERCP, sphincterotomy (ND) | 2 h | Splenic laceration | Splenectomy |
| Furman [14] | 63/F | Prior abdominal surgery, post-ERCP pancreatitis | ERCP, sphincterotomy (ND) | Not reported | Subcapsular haematoma, splenic abscess | Conservative (abscess drained) |
| Gaffney [15] | 48/M | Chronic pancreatitis, CBD stricture | ERCP, stent exchange (ND) | 6 days | Splenic laceration | Conservative |
| Cho [16] | 63/F | Chronic pancreatitis, prior abdominal surgery | ERCP (D) | 18 h | Splenic laceration | Splenectomy |
| Grammatopoulos [17] | 64/M | CBD stricture, tumour | ERCP, stenting (D) | 6 h | Splenic rupture | Splenectomy |
| Deist [18] | 52/F | Prior abdominal surgery | ERCP, sphincterotomy (ND) | 8 h | Splenic rupture | Splenectomy |
| Cortinas Saenz [19] | 82/F | Nil relevant | Therapeutic ERCP (D) | Immediately after ERCP | Splenic rupture | Splenectomy |
| Current case | 59/F | Prior abdominal surgery | ERCP, stent exchange (D) | 4 h | Peri-splenic haematoma | Conservative |
ERCP, endoscopic retrograde cholangiopancreatography; CBD, common bile duct.
a
Reported difficulty of procedure: D, difficult; ND, not difficult; NA, not available.
b
Time between ERCP and development of symptoms suggestive of splenic injury.
c
Death from multi-organ system failure.