摘要
Regarded as a minimally invasive procedure,endoscopic retrograde cholangiopancreatography(ERCP)is commonly used to manage various pancreaticobiliary disorders.The rate of complications is low and starts from 4%for diagnostic interventions.The group of most frequent negative outcomes is commonly known and includes pancreatitis,cholecystitis,and hemorrhage.Rare adverse effects occur occasionally but carry a significant risk of unexpected and potentially dangerous results.In some cases,including splenic injury,the knowledge of pre-existing conditions might be helpful in avoiding the unwanted outcome,while in others,the risk factors are not clearly defined.Such situations demand increased caution in the post-ERCP period.The appearance of abdominal pain,peritoneal symptoms,or instability of the patient’s hemodynamic condition should alert the physician and lead to further investigation of the possible causes.The diagnostic process usually involves imaging tests.The implementation of the appropriate treatment should be immediate,as many of the rare complications carry the risk of dangerous,even potentially lethal,results.
