Hepato-gastroenterology Department, Roanne Hospital Center, Roanne, France.
* Corresponding Author
ORCID Details
Maha Lahkim Bennan: https://orcid.org/0009-0007-6363-769X
Nihad Lachkar: https://orcid.org/0009-0002-5039-3095
World Journal of Advanced Research and Reviews, 2026, 32(01), 2075–2079
Article DOI: 10.30574/wjarr.2026.32.1.2761
Received on 19 September 2026; revised on 27 October 2026; accepted on 29 October 2026
Background: Post-endoscopic retrograde cholangiopancreatography pancreatitis is the most common complication of endoscopic retrograde cholangiopancreatography, with variable severity. Splenic complications are rare but potentially life-threatening.
Case presentation: We report the case of a 54-year-old woman with a history of cholecystectomy who developed severe acute pancreatitis following endoscopic retrograde cholangiopancreatography performed for sphincter of Oddi dysfunction. Three days after admission, she presented with acute hemodynamic instability and a significant drop in hemoglobin. Contrast-enhanced computed tomography revealed active bleeding due to splenic rupture. Emergency splenectomy was performed with favorable outcome.
Conclusion: Splenic rupture is an exceptionally rare complication of acute pancreatitis. Early recognition of hemorrhagic complications in severe pancreatitis is critical to ensure prompt management and improve outcomes.
Acute Pancreatitis; Case Report; Endoscopic Retrograde Cholangiopancreatography; Hemorrhage; Splenic Rupture
Preview Article PDF
Maha Lahkim Bennani, Nihad Lachkar and Yosra Aouni. SPLENIC RUPTURE COMPLICATING SEVERE ACUTE PANCREATITIS: A CASE REPORT. World Journal of Advanced Research and Reviews, 2026, 32(01), 2075–2079. Article DOI: https://doi.org/10.30574/wjarr.2026.32.1.2761