Subcapsular hepatic haematoma of the right lobe following endoscopic retrograde cholangiopancreatography: Case report and literature review |
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Authors: | Marco Antonio Zappa Alberto Aiolfi Ilaria Antonini Cinzia Domenica Musolino rea Porta |
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Institution: | Marco Antonio Zappa, Alberto Aiolfi, Ilaria Antonini, Cinzia Domenica Musolino, Andrea Porta, University of Milan, Department of General and Emergency surgery, Ospedale S Famiglia Fatabenefratelli, 22036 Erba, Italy |
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Abstract: | Sub capsular hepatic haematoma is a rare complication after endoscopic retrograde cholangiopancreatography (ERCP). Exact pathological mechanism is still unclear and few reports are nowadays available in literature. We report the case of a 58-year-old woman with recurrent episodes of upper abdominal pain, nausea and vomiting. On the basis of laboratory exams, abdomen ultrasound and magnetic resonance imaging she was diagnosed with a common bile duct stone. Endoscopic biliary sphincterotomy was performed. On the following day the patient complaint severe abdominal pain with rebound and hemodynamic instability. A computed tomography scan reveal a 14 cm × 6 cm × 19 cm sub-capsular hepatic haematoma on the right lobe that was successfully managed via percutaneous embolization. Sub capsular liver haematoma is a rare life threatening complication after ERCP that should be managed according to patients’ haemodynamic and clinic. |
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Keywords: | Endoscopic guidewire Endoscopic retrograde cholangiopancreatography Abdominal pain Subcapsular hepatic hematoma Embolization |
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