Year 2023 / Volume 115 / Number 11
Letter
CT guided percutaneous drainage for left hepatic subcapsular hematoma after endoscopic retrograde cholangiopancreatography

655-656

DOI: 10.17235/reed.2023.9498/2023

Min Li, Kangning Yu, Denghao Deng, Jun Liu, Weiwei Chen, Juan Chen, Chaowu Chen,

Abstract
Endoscopic retrograde cholangiopancreatography has been widely used in the diagnosis and treatment of biliary and pancreatic diseases. Post-ERCP complications mainly include pancreatitis, infection, bleeding, and perforation. However, post-ERCP left hepatic subcapsular hematoma is a rare and potentially life-threatening complication. A total of five cases have been reported in the literature, including one death due to bleeding from a ruptured hematoma. We report a case of post-ERCP hepatic subcapsular hematoma of the left lobe of the liver in a 29-year-old woman who was diagnosed with a left hepatic subcapsular hematoma 56 hours after ERCP and whose symptoms did not improve after conservative treatment. A CT-guided percutaneous puncture was then performed, and the drainage fluid was a dark red fluid mixed with blood and bile. On days 1, 2, 3, 4, and 5, respectively, following drainage, the drainage flow was 400 ml, 40 ml, 70 ml, 50 ml, and 30 ml.
Share Button
New comment
Comments
No comments for this article
References
[1] Montoya Rojo J O, Amezcua Gutiérrez M A, Castañón-González J A. Melena after endoscopic retrograde cholangiopancreatography: a warning sign of an impending subcapsular hepatic hematoma[J]. Medicina Clinica, 2020, 154(11): 467. DOI:10.1016/j.medcli.2019.04.014.
[2] Beristain-Hernández J L, Beristain-Silva J-L. Urgent left lobectomy as a treatment for broken and infected late subcapsular hepatic hematoma following endoscopic retrograde cholangiopancreatography[J]. Revista Espanola De Enfermedades Digestivas: Organo Oficial De La Sociedad Espanola De Patologia Digestiva, 2020, 112(9): 740–741. DOI:10.17235/reed.2020.6853/2019.
[3] Fernández-Gordón Sánchez Flor M.ª, Cudero Quintana L, Algara San Nicolás M, et al. Hepatic subcapsular hematoma post-endoscopic retrograde cholangiopancreatography requiring embolization[J/OL]. Revista Española de Enfermedades Digestivas, 2022[2023–02–04]. DOI:10.17235/reed.2022.9342/2022.
Related articles

Digestive Diseases Image

Traumatic biliary fistula with bile duct disconnection

DOI: 10.17235/reed.2024.10096/2023

Letter

Hematoma post-endoscopic retrograde cholangiopancreatography

DOI: 10.17235/reed.2023.9670/2023

Digestive Diseases Image

Endosonographic and ERCP findings in COVID-19 critical illness cholangiopathy

DOI: 10.17235/reed.2022.9218/2022

Digestive Diseases Image

Cholangiohydatidosis: an uncommon cause of acute cholangitis

DOI: 10.17235/reed.2020.7063/2020

Letter

Obstructive jaundice of a parasitic etiology

DOI: 10.17235/reed.2018.5827/2018

Citation tools
Li M, Yu K, Deng D, Liu J, Chen W, Chen J, et all. CT guided percutaneous drainage for left hepatic subcapsular hematoma after endoscopic retrograde cholangiopancreatography. 9498/2023


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 946 visits.
This article has been downloaded 31 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 29/01/2023

Accepted: 06/02/2023

Online First: 13/02/2023

Published: 13/11/2023

Article Online First time: 15 days

Article editing time: 288 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2024 y Creative Commons. The Spanish Journal of Gastroenterology