Subcapsular hepatic hematoma after – ERCP. Case report and literature review.

Authors

  • Carlos Eduardo Rey Cháves Hospital Universitario Mayor Mederi
  • Elkin Benitez Hospital Universitario Mayor Méderi
  • Fernando Gutierrez Infante Hospital Universitario Mayor Méderi
  • Juan Carlos Sabogal Olarte Hospital Universitario Mayor Méderi

DOI:

https://doi.org/10.22516/25007440.575

Keywords:

Endoscopic retrograde cholangiopancreatrography, complication, hematoma

Abstract

This is the case of a 68-year-old female patient, with no relevant history, who was classified as intermediate risk for choledocholithiasis due to her symptoms and lab test results. The diagnosis was confirmed by means of cholangioresonance. She was taken to ERCP on two occasions; the first failed due to intradiverticular papilla, and during the second attempt (successful with the removal of the stone), the patient had a torpid post-procedure evolution, with marked abdominal pain and anemization. An abdominal tomography with contrast was performed, which confirmed the diagnosis of subcapsular hematoma. A conservative management was implemented, achieving adequate bleeding control.

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Author Biographies

Carlos Eduardo Rey Cháves, Hospital Universitario Mayor Mederi

Médico general. Bogotá

Elkin Benitez, Hospital Universitario Mayor Méderi

Cirujano General Universidad el Rosario. Bogotá

Fernando Gutierrez Infante, Hospital Universitario Mayor Méderi

Residente Cirugia General Universidad el Rosario. Bogotá

Juan Carlos Sabogal Olarte, Hospital Universitario Mayor Méderi

Cirujano Hígado, via biliar y páncreas, Hospital Universitario Mayor Méderi

References

Orellana F, Irarrazaval J, Galindo J, Balbontin P, Manrquez L, Plass R, et al. Subcapsular hepatic hematoma post ERCP: A rare or an underdiagnosed complication? Endoscopy. 2012;44(S 02):E108-9. https://doi.org/10.1055/s-0031-1291493

García-Tamez A, López-Cossio A, Hernández-Hernández G, González-Huezo M, Rosales-Solís A, Corona-Esquivel E. Subcapsular hepatic hematoma: An unusual, but potentially life-threating post-ERCP complication. Case report and literature review. Endoscopia. 2016;28(2):75-80. https://doi.org/10.1016/j.endomx.2016.04.001

González-López R, García-Cano E, Espinosa-González O, Cruz-Salgado Á, Montiel-Jarquin ÁJ, Hernández-Zamora V. Tratamiento quirúrgico para hematoma subcapsular hepático posterior a colangiografía retrógrada endoscópica; caso inusual. Cirugia y Cirujanos. 2015;83(6):506-9. https://doi.org/10.1016/j.circir.2015.05.028

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Imperatore N, Micheletto G, Manes G, Redaelli DG, Reitano E, e Nucci G. Systematic review: Features, diagnosis, management and prognosis of hepatic hematoma, a rare complication of ERCP. Dig Liver Dis. 2018;50(10):997-1003. https://doi.org/10.1016/j.dld.2018.07.010

Koçak E, Ergül B, Akbal E, Köklü S, Karakayali AŞ. Subcapsular hepatic hematoma after ERCP. Acta Gastro-Enterol Belgica. 2012;67(2):379-80. https://doi.org/10.1016/j.gie.2007.06.008

Young Bang J, Coté GA. Rare and underappreciated complications of endoscopic retrograde cholangiopancreatography. Tech Gastrointest Endosc. 2014;16(4):195-201. https://doi.org/10.1016/j.tgie.2014.07.007

Zappa MA, Aiolfi A, Antonini I, Musolino CD, Porta A. Subcapsular hepatic haematoma of the right lobe following endoscopic retrograde cholangiopancreatography: Case report and literature review. World J Gastroenterol. 2016;22(17):4411-5. https://doi.org/10.3748/wjg.v22.i17.4411

Zizzo M, Lanaia A, Barbieri I, Zaghi C, Bonilauri S). Subcapsular Hepatic Hematoma After Endoscopic Retrograde Cholangiopancreatography A Case Report and Review of Literature. Medicine. 2015;94(26):pe1041. https://doi.org/10.1097/MD.0000000000001041

Figura 1. Fluoroscopia intraoperatoria-colangiopancreatografía retró-grada endoscópica, acceso a la vía biliar

Published

2021-04-21

How to Cite

Rey Cháves, C. E., Benitez, E., Gutierrez Infante, F. ., & Sabogal Olarte, J. C. . (2021). Subcapsular hepatic hematoma after – ERCP. Case report and literature review. Revista Colombiana De Gastroenterología, 36(Supl. 1), 59–62. https://doi.org/10.22516/25007440.575

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