CRCM  Vol.3 No.3 , March 2014
Subcapsular Hepatic Hematoma after ERCP: A Case Report and Revision of Literature
ABSTRACT

Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) is a minimally invasive procedure for diagnosis and treatment of biliary and pancreatic diseases. Even in the best hands, complications may occur. Clinically significant hemorrhagic complications associated usually to previous papillotomy are uncommon. Subcapsular hepatic hematoma is excepcional, with only twenty cases described. We present a case of a 52-year-old man who developed a large subcapsular liver hematoma following a therapeutic ERCP. Due to serious anemization and hemodynamic instability, arterial embolization and finally urgent surgical evacuation of the hematoma were performed. In the postoperative period the patient presented infection of the collection, which indicated colocation of percutaneous drainage and broad-spectrum intravenous antibiotics, and gradually recovered.


Cite this paper
Klímová, K. , Suárez, C. , Asanza, C. , Peña, A. , Arregui, E. and Alonso, A. (2014) Subcapsular Hepatic Hematoma after ERCP: A Case Report and Revision of Literature. Case Reports in Clinical Medicine, 3, 161-166. doi: 10.4236/crcm.2014.33039.
References
[1]   Hart, R. and Classen, M. (1990) Complications of Diagnostic Gastrointestinal Endoscopy. Endoscopy, 22, 229-230.
http://dx.doi.org/10.1055/s-2007-1010734

[2]   Freeman, M.L., Neslon, D.B., Sherman, S., et al. (1996) Complications of Endoscopic Biliary Sphicterotomy. The New England Journal of Medicine, 335, 909-918. http://dx.doi.org/10.1056/NEJM199609263351301

[3]   Ortega Deballon, P., Fernández Lobato, R., García Septern, J., Nieves Vázquez, M.A., Martínez Santos, C. and Moreno Azkoita, M. (2000) Liver Hematoma Following ERCP. Surgical Endoscopy, 14, 767.

[4]   Loperfido, S., Angelini, G., Benedetti, G., et al. (1998) Major Early Complications from Diagnostic and Therapeutic ERCP: A Prospective Multicenter Study. Gastrointestinal Endoscopy, 48, 1-10.
http://dx.doi.org/10.1016/S0016-5107(98)70121-X

[5]   Wu, W.C. and Katon, R.M. (1993) Injury to the Liver and Spleen after Diagnostic ERCP. Gastrointestinal Endoscopy, 39, 824-827. http://dx.doi.org/10.1016/S0016-5107(93)70278-3

[6]   Lynch, S.P. and Evans, J.A. (2010) Difficult Biliary Canulation. Current Gastroenterology Reports, 12, 135-140.
http://dx.doi.org/10.1007/s11894-010-0089-0

[7]   Baudet, J.-S., Arguiñarena, X., Redondo, I., Tadeo, E., Navazo, L., Mendiz, J. and Montiel, R. (2011) Subcapsular Hepatic Hematoma: An Uncommon Complication of Endoscopic Retrograde Cholangiopancreatography. Gastroenterología y Hepatología, 34, 79-82. http://dx.doi.org/10.1016/j.gastrohep.2010.11.002

[8]   Fei, B.-Y. and Li, C.-H. (2013) Subcapsular Hepatic Haematoma after Endoscopic Retrograde Cholangiopancrea-Tography: An Unusual Case. World Journal of Gastroenterology, 19, 1502-1504.
http://dx.doi.org/10.3748/wjg.v19.i9.1502

[9]   Horn, T.L. and Peña, L.R. (2004) Subcapsular Hepatic Hematoma after ERCP: Case Report and Review. Gastrointestinal Endoscopy, 59, 594-596. http://dx.doi.org/10.1016/S0016-5107(04)00013-6

[10]   Cárdenas, A., Crespo, G. and Balderramo, D. (2008) Subcapsular Liver Hematoma after ERCP in a Liver Transplant Recipient. Annals of Hepatology, 7, 386-388.

[11]   Del Pozo, D., Moral, I. and Poves, E. (2011) Subcapsular Hepatic Hematoma Following ERCP: Case Report and Review. Endoscopy, 43, UCTN: E164-E165.

[12]   Priego, P., Rodríguez, G., Mena, A., Losa, N., et al. (2007) Subcapsular Liver Hematoma after ERCP. Revista Española de Enfermedades Digestivas, 99, 53-54. http://dx.doi.org/10.4321/S1130-01082007000100014

[13]   Pérez-Legas, J., Santos, J., Ruiz-Tovar, J., Moya-Forcén, P., et al. (2011) Subcapsular Hepatic Hematoma after ERCP. Revista Española de Enfermedades Digestivas, 103, 550-551. http://dx.doi.org/10.4321/S1130-01082011001000011

[14]   Petit-Laurent, F., Scalone, O., Penigaud, M. and Barbeys, J. (2007) Subcapsular Hepatic Hematoma after Endoscopic Retrograde Cholangiopancreatography: Case Report and Literature Review. Gastroentérologie Clinique et Biologique, 31, 750-752. http://dx.doi.org/10.1016/S0399-8320(07)91937-5

[15]   Bhati, C.S., Inston, N. and Wigmore, S.J. (2007) Subcapsular Hepatic Hematoma: An Unusual Complication of ERCP. Endoscopy, 39, E150. http://dx.doi.org/10.1055/s-2007-966241

 
 
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