Surgical treatment for liver haematoma following endoscopic retrograde cholangiopancreatography; An unusual case

Cirugia y cirujanos
Rogelio González-LópezValeria Hernández-Zamora

Abstract

Even in expert hands, there can be serious complications when performing an endoscopic retrograde cholangiopancreatography. The most frequent complications are pancreatitis, cholangitis, bleeding, perforation, and acute cholecystitis. The hepatic subcapsular haematoma is a rare complication, with few cases described worldwide. A case is presented of an extremely rare complication of endoscopic retrograde cholangiopancreatography, which required surgical treatment for its resolution without success. This is second case of mortality reported in the literature. Female patient of 30 years old, with indication for endoscopic retrograde cholangiopancreatography due to benign strictures. A hydro-pneumatic dilation and stent placement of 2 gauge 10 fr was performed. She presented abdominal pain after the procedure and significant decline in haemoglobin with no evidence of haemodynamic instability so an abdominal tomography scan was performed, showing no evidence of liver injury. The patient was haemodynamic unstable within 72 h. A laparotomy was required for damage control, with fatal outcome in the intensive care unit due to multiple organ failure. Subcapsular hepatic haematoma after endoscopic retrograde cholangiopancreatography is a...Continue Reading

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Citations

Apr 20, 2018·BMJ Case Reports·Teresa Vieira CaroçoCarlos Eduardo Costa Almeida
Jul 25, 2019·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Javier Ismael Roldán VillavicenciMikel Gastaca Mateo
Jun 15, 2019·Digestive Diseases and Sciences·C SommarivaV Tonini
Oct 17, 2017·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Rocío Soler HumanesBlanca García García

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