Year 2021 / Volume 113 / Number 2
Letter
Subcapsular hepatic hematoma as a complication of ERCP: what do we know about its etiology?

149-150

DOI: 10.17235/reed.2020.7154/2020

María del Mar Díaz Alcázar, Alicia Martín-Lagos Maldonado, Elena Ruiz-Escolano,

Abstract
We present the case of a 79-year-old male who underwent endoscopic retrograde cholangiopancreatography (ERCP) after cholangitis. The papilla was rigid and the biliary tract was dilated with sharpening of the distal bile duct, with no obvious cause. There was no bile flow after sphincterotomy, no stone after sweeping the duct with a balloon and the brush did not expand properly when trying to obtain cytologic material. Finally, a plastic stent was placed and purulent bile flowed. Biopsies of the papilla were taken due to the suspicion of tumor infiltration. The next day, the patient had pain in the right upper quadrant and blood tests highlighted mild anemization.
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References
1. Zizzo M, Lanaia A, Barbieri I, et al. Hepatic hematoma after endoscopic retrograde cholangiopancreatography. A case report and review of literature. Medicine 2015;94(26):1041. doi: 10.1097/MD.0000000000001041.
2. Soler Humanes R, Suárez Muñoz MÁ, García García B. A post-endoscopic retrograde cholangiopancreatography subcapsular hepatic hematoma. Rev Esp Enferm Dig 2017;109(11):803. doi: 10.17235/reed.2017.5123/2017.
3. Del Moral Martínez M, Delgado Maroto A, Cervilla Sáez de Tejada ME, et al. Hepatic hematoma after ERCP: two new case reports. Rev Esp Enferm Dig 2017;109(6):470-3. doi: 10.17235/reed.2017.4237/2016.
4. Imperatore N, Micheletto G, Manes G, et al. Systematic review: Features, diagnosis, management and prognosis of hepatic hematoma, a rare complication of ERCP. Dig Liver Dis 2018;50(10):997-1003. doi: 10.1016/j.dld.2018.07.010.
5. Roldán Villavicencio JI, Prieto Calvo M, Gastaca Mateo M. Hematoma subcapsular hepático post-CPRE: del tratamiento conservador a la cirugía emergente. Una complicación inusual pero extremadamente grave. Rev Esp Enferm Dig 2019:111(9):721-3. doi: 10.17235/reed.2019.5787/2018
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Díaz Alcázar M, Martín-Lagos Maldonado A, Ruiz-Escolano E. Subcapsular hepatic hematoma as a complication of ERCP: what do we know about its etiology?. 7154/2020


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Publication history

Received: 17/04/2020

Accepted: 02/05/2020

Online First: 19/11/2020

Published: 08/02/2021

Article Online First time: 216 days

Article editing time: 297 days


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