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Abstract：
Splenic injury following endoscopy is a rare but potentially fatal complication. While this has been found to occur more frequently after colonoscopy, splenic injury following endoscopic retrograde cholangiopancreatography (ERCP) remains highly uncommon since its first reported case in 1989. Indeed, there have been only 19 such cases reported in the English, German, and Spanish literature collectively over the past 27 years. We report on a 59-year-old woman who developed a peri-splenic haematoma diagnosed on abdominal computed tomography the day following ERCP and stenting for Mirizzi syndrome. The patient was treated conservatively and made a full recovery. We reviewed all cases of post-ERCP splenic injuries reported to date and discuss the published opinions on the likely mechanism of injury, predisposing factors, presenting features, investigation, and treatment options. Ultimately, patient outcome relies on clinical suspicion of this rare complication following ERCP.
摘要：
内窥镜检查后的脾损伤是一种罕见但可能致命的并发症。虽然这种情况在结肠镜检查后更频繁地发生，自1989年首次报道病例以来，内镜逆行胰胆管造影术（ERCP）后的脾损伤仍然很少见。的确,在英语中只有19例这样的病例报告，德语,和西班牙文学在过去27年中的总和。我们报道了一名59岁的女性，该女性在ERCP和Mirizzi综合征支架置入后的第二天，在腹部计算机断层扫描中诊断出了脾脏周围血肿。患者经保守治疗，完全康复。我们回顾了迄今为止报告的所有ERCP术后脾损伤病例，并讨论了已发表的关于损伤可能机制的观点。诱发因素,呈现特征，调查,和治疗选择。最终,患者的预后取决于ERCP后这种罕见并发症的临床怀疑.
