Abstract

SEGURA GAGO, Gino Perley; LEON QUISPE, Diego Adolfo; NIVIN HUERTA, Juan Jesús  and  BALDERA GUAYAMBAL, Jose Oscar. Subcapsular hepatic hematoma after endoscopic retrograde cholangiopancreatography: a case report and review of the literature. Rev. gastroenterol. Perú [online]. 2022, vol.42, n.1, pp.48-52.  Epub July 01, 2022. ISSN 1022-5129.  http://dx.doi.org/10.47892/rgp.2022.421.1325.

Endoscopic retrograde cholangiopancreatography (ERCP) is currently considered a diagnostic and therapeutic procedure in obstructive lesions of the biliary tract, especially choledocholithiasis and stenosis, as well as in pancreatic diseases in general. However, it is known the development of certain complications such as acute pancreatitis, acute cholangitis, cholecystitis among others of lower incidence within which the hepatic subcapsular hematoma takes relevance due to its high mortality. We present the case of a 52-year-old male patient who three hours after undergoing ERCP develops abdominal pain of sudden onset with significant reduction of hematocrit, and imaging study shows a hepatic subcapsular hematoma. He was initially managed conservatively and then proceeded to a percutaneous drainage, subsequently showing residual descending contents by radiological follow-up.

Keywords : Hematoma; Cholangiopancreatography, endoscopic retrograde; ERCP; Abdominal pain; Anemia; Choledocholithiasis.

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