Subcapsular hepatic hematoma post ERCP: a rare or an underdiagnosed complication?

Orellana, Franco; Irarrazaval, J; Galindo, Juan Patrón; Balbontín, Paulina; Manríquez, Luis; Plass, R.; Araya, Raúl; Ríos, Horacio; Sáenz, Roque

doi:10.1055/s-0031-1291493

Cited by 27 publications

(32 citation statements)

References 5 publications

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“…The etiology of the hematoma is not entirely clear. Most of the authors claimed that it is caused by rupture of small caliber vessels due to the guidewire trauma [5][6][7]. In our case, guidewire is the most probable cause as it appears in (Figure 5).…”

Section: Discussionmentioning

confidence: 53%

Subcapsular left hepatic lobe hematoma: A potentially life-threatening post-ERCP complication

A.M.

A.A.

M.F.

et al. 2017

Int J Hepatobiliary Pancreat Dis

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Endoscopic retrograde cholangiopancreatography (ERCP) is minimally invasive procedure commonly performed for biliary and pancreatic diseases. According to literature, the most common related complication are pancreatitis, post-sphincterotomy bleeding, perforation and cholangitis. This is rare and exceptional ERCP complication and only few cases have been reported. We report a case of rare post-ERCP complication, subcapsular liver hematoma that was diagnosed 16 hour post-ERCP in 28-year-old lady with intra-abdominal collection, ultrasound guided drainage of suspected bile leak was done, but the drained fluid was bloody (blood mixed with bile), with total amount of 900 ml in the first 36 hours.

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Section: Discussionmentioning

confidence: 53%

Subcapsular left hepatic lobe hematoma: A potentially life-threatening post-ERCP complication

A.M.

A.A.

M.F.

et al. 2017

Int J Hepatobiliary Pancreat Dis

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“…The complication of subcapsular hepatic hematoma after conducting ERCP is uncommon and a likely life-threatening situation in which few cases was reported in the world [5]. With respect to currently related literatures, they provide good experiences to treat subcapsular hepatic hematoma post-ERCP.…”

Section: Introductionmentioning

confidence: 97%

A potential complication following endoscopic retrograde cholangiopancreatography: Subcapsular hepatic hematoma

Yang¹,

Chen²,

Huang³

2018

biomedicalresearch

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a technique with high success rate for diagnosis and treatment of biliary and pancreatic diseases, but haemorrhagic complications usually occurs when utilizing Endoscopic Sphincterotomy (EST) or Endoscopic Papillotomy (EPT). Here, we described the case of a 37-y-old female whose Common Bile Duct (CBD) stones were removed via ERCP and EPT due to dilated gallbladder and CBD obstruction. However, the patient suffered from subcapsular hepatic hematoma, sepsis, acute pancreatitis after ERCP. We arranged a second ERCP, Endoscopic Naso-Biliary Drainage (ENBD) and removed stones from gallbladder and junction of CBD and Common Hepatic Duct (CHD) by the Laparoscopic Common Bile Duct Exploration (LCBDE), as well as long-term antibiotic treatment. The patient then had a good condition of postoperative recovery. Hence, it should be alarming that subcapsular hepatic hematoma could be a potential complication post-ERCP and is life-threatening, and we provided the experience of utilizing a number of diagnostic techniques and a multidisciplinary approach of therapy strategies for resolving such complication successfully.

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“…Severe post-ERCP complications occur in 2.5-8 % of cases, with a mortality rate of 0.5-1 % [1]. The most common are acute pancreatitis, cholangitis, perforation and bleeding due to sphincterotomy [1][2][3]. Subcapsular hepatic hematoma is a rare complication described by few reports [1,3,4].…”

mentioning

confidence: 99%

“…The most common are acute pancreatitis, cholangitis, perforation and bleeding due to sphincterotomy [1][2][3]. Subcapsular hepatic hematoma is a rare complication described by few reports [1,3,4]. Its low incidence could also be affected by the habit of not performing post-procedural radiological controls [3].…”

mentioning

confidence: 99%

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An unfortunate case of post-ERCP complications

2016

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Subcapsular hepatic hematoma post ERCP: a rare or an underdiagnosed complication?

Abstract: UCTN-Unusual cases and technical notes E109

Cited by 27 publications

References 5 publications

Subcapsular left hepatic lobe hematoma: A potentially life-threatening post-ERCP complication

Subcapsular left hepatic lobe hematoma: A potentially life-threatening post-ERCP complication

A potential complication following endoscopic retrograde cholangiopancreatography: Subcapsular hepatic hematoma

An unfortunate case of post-ERCP complications

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