Subcapsular hepatic hematoma after ERCP: case report and review

Horn, T.; Peña, Luis

doi:10.1016/s0016-5107(04)00013-6

Cited by 37 publications

(29 citation statements)

References 9 publications

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“…Thus, the presence of those should raise the suspicion of subcapsular hepatic hematoma [8]. However, according to some authors, the incidence of this complication might be underestimated, as many patients may not present any symptoms, and post-ERCP monitoring by imaging is not routinely done [9].…”

Section: Discussionmentioning

confidence: 99%

Subcapsular Hepatic Hematoma after ERCP: A Case Report and Revision of Literature

Klimova¹,

Suárez²,

Asanza³

et al. 2014

CRCM

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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.

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Section: Discussionmentioning

confidence: 99%

Subcapsular Hepatic Hematoma after ERCP: A Case Report and Revision of Literature

Klimova¹,

Suárez²,

Asanza³

et al. 2014

CRCM

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show abstract

“…There are case reports of hemorrhage or hematoma associated with ERCP involving the liver, abdominal cavity, spleen, and bowel wall (5)(6)(7)(8). To our knowledge there are only 3 case reports of a complication of liver hematoma following ERCP (2,6,9). It is believed that hematoma occurs as an accidental puncture of the intrahepatic biliary tree and rupture of blood vessels by the guide wire.…”

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confidence: 99%

An Unusual Complication of Endoscopic Retrograde Cholangiopancreatography

et al. 2006

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“…Se ha propuesto como probable causa la lesión del parénquima hepático por la guía [1][2][3][4] . Sin embargo, tras una revisión exhaustiva pensamos que, en nuestro caso, fue la tracción realizada para sacar el balón extractor de la vía biliar el origen del hematoma.…”

Section: Discussionunclassified

“…El tratamiento de estas lesiones suele ser conservador, con sueroterapia y antibioterapia de amplio espectro, siempre que el paciente se encuentre hemodinámicamente estable [1][2][3][4] . Como puede observarse en la tabla 1, de los 16 pacientes descritos hasta la actualidad, la cirugía sólo fue precisa en 3 ocasiones.…”

Section: Discussionunclassified