SciELO - Scientific Electronic Library Online

vol.36 número3Perspectiva actual de la cirugía endoscópica transluminal por orificios naturales (CETON)Pancreatitis autoimmune tipo 1: caso y revisión de la enfermedad índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO


Revista de Gastroenterología del Perú

versión impresa ISSN 1022-5129


BAHENA-APONTE, Jesús A et al. Spontaneous liver rupture in a patient with antecedent from choledocholithiasis resolved by ERCP. Rev. gastroenterol. Perú [online]. 2016, vol.36, n.3, pp.249-251. ISSN 1022-5129.

We present the case of a 34 years old female patient who presents with abdominal pain and elevated total and direct bilirrubins, so she underwent ERCP Reporting: a) successful sphincterotomy without complications, b) choledocholithias is endoscopically resolved, c) secondary cholangitis. She developed significant abdominal pain at 72 h, with hypovolemic shock and peritoneal irritation. She was taken to the surgery, finding a grade III liver laceration. This one was resolved with liver raffia and packing, during the same operative time cholecystectomy was performed. A second look was performed at 24 h, achieving adequate control of bleeding after placing hemostatic (Nexstat®). The patient developed a subdiaphragmatic abscess which needed drainage by another laparotomy. After which the patient had a satisfactory evolution, so she was discharged

Palabras clave : Choledocholithiasis; Cholangiopancreatography, endoscopic retrograde; Cholangitis.

        · resumen en Español     · texto en Español     · Español ( pdf )