Year 2023 / Volume 115 / Number 9
Letter
Hepatic subcapsular hematoma post-endoscopic retrograde cholangiopancreatography requiring embolization

523-524

DOI: 10.17235/reed.2022.9342/2022

Flor M.ª Fernández-Gordón Sánchez, Laura Cudero Quintana, María Algara San Nicolás, Teresa Álvarez-Nava Torrego, José Carlos Marín Gabriel, Manuel Cabrera González, José Benjamín Díaz Tasende, Inmaculada Fernández Vázquez,

Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) placement of biliary stents is the procedure of choice for bile duct strictures. Complications of endoscopic retrograde cholangiopancreatography have a low incidence. Hepatic subcapsular hematoma is uncommon but potentially serious. It is caused by laceration of the bile duct with guidewire or biliary traction during the procedure. Initial management is conservative with supportive measures. In case of hemodynamic instability or superinfection, embolization of the affected branch or even surgery could be performed.
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References
1. Díaz MM, Martín-Lagos A, Ruiz E. Subcapsular hepatic hematoma as a complication of ERCP: what do we know about its etiology?. Rev Esp Enferm Dig. 2021; 10.17235. doi:10.17235/reed.2020.7154/2020
2. Arya R, Priyadarshi RN, Maji T, et al. Large Hepatic Subcapsular Hematoma Following Endoscopic Retrograde Cholangiopancreatography: A Case Report. Cureus. 2022;14(2):e21920. Published 2022 Feb 5. doi:10.7759/cureus.21920l
3. Pivetta LGA, da Costa Ferreira CP, de Carvalho JPV, et al. Hepatic subcapsular hematoma post-ERCP: Case report and literature review. Int J Surg Case Rep. 2020;72:219-228. doi:10.1016/j.ijscr.2020.05.074
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Citation tools
Fernández-Gordón Sánchez F, Cudero Quintana L, Algara San Nicolás M, Álvarez-Nava Torrego T, Marín Gabriel J, Cabrera González M, et all. Hepatic subcapsular hematoma post-endoscopic retrograde cholangiopancreatography requiring embolization. 9342/2022


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Publication history

Received: 08/11/2022

Accepted: 15/11/2022

Online First: 01/12/2022

Published: 06/09/2023

Article Online First time: 23 days

Article editing time: 302 days


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