Format

Send to

Choose Destination
Dig Dis Sci. 2019 Aug;64(8):2114-2119. doi: 10.1007/s10620-019-05679-3.

Subcapsular Hepatic Hematoma Post-ERCP: Case Report and Review of the Literature.

Author information

1
Surgery Emergency and GI Department, St. Orsola University Hospital, Bologna, Italy.
2
Surgery Emergency and GI Department, St. Orsola University Hospital, Bologna, Italy. augustola@yahoo.com.
3
Department of Surgical Sciences, La Sapienza University, Umberto I Hospital, Rome, Italy.
4
Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.

Abstract

INTRODUCTION:

Hepatic hematoma is a rare but possible complication of ERCP. We describe the case of a 75-year old man with a large, 8 × 12 cm, sub-capsular and intra-parenchymal hematoma post ERCP, affecting the right liver segments and treated conservatively.

AREAS COVERED:

A review of literature has been performed, highlighting two possible mechanisms: hematoma may occur as the result of accidental laceration of a small intrahepatic vessel by the guidewire, whereas the other hypothesis posits that the hepatic damage is secondary to traction on the biliary system exerted by the balloon. We speculate that in case of anomalies of the biliary tree, the incidence of this complication is higher than expected.

EXPERT COMMENTARY:

In case of hepatic hematoma post ERCP, a conservative approach should always be considered before proceeding to interventional radiologic procedures or to surgical therapy.

KEYWORDS:

Abdominal pain; ERCP; Endoscopic procedure; Hepatic hematoma; Pancreatitis

PMID:
31197631
DOI:
10.1007/s10620-019-05679-3

Supplemental Content

Full text links

Icon for Springer
Loading ...
Support Center