Subcapsular hepatic haematoma after endoscopic retrograde cholangiopancreatography. A rare complication with high morbidity and mortality

An Unusual Complication of Ercp in a 79-Year-Old Woman

“…On the contrary, bleeding is seen more commonly in the elderly persons (Köklü, Parlak, Yüksel, & Sahin, 2005). Most of the bleeding cases are sphincterotomy-associated; bleeding presenting as subcapsular liver hematoma is a rare complication of ERCP (de la Maza Ortiz et al, 2019; Imperatore et al, 2018; Kocak, Ergül, Akbal, Köklü, & Karakayali, 2012; Sommariva et al, 2019). It occurs as a consequence of intrahepatic small vessel laceration (Sommariva et al, 2019).…”

“…Although most of the cases heal with conservative management, some need radiological or surgical intervention. Because of its life-threatening potential, ERCP-associated subcapsular liver hematoma needs careful consideration (de la Maza Ortiz et al, 2019). Abdominal radiography is an easy and simple test at the beginning of the diagnostic pathway.…”