Contreras TG, Buenrostro PFJ, Mendoza TD, Barajas ÁR, Rodríguez AAG, Macedo RTJ, Nieves VAA

Language: Spanish
References: 10
Page: 118-122
PDF size: 194.76 Kb.

ABSTRACT

Objective: To describe a case of ruptured subcapsular hepatic hematoma as an uncommon complication of a retrograde endoscopic cholangiopancreatography.Design: Case report. Description of the case: The following case of a 49-year-old woman who developed an intrahepatic subcapsular hematoma, afte r a retrograde endoscopic cholangiopancreatography with sphincterotomy and lithium extraction. Whose procedure requires the passage of a guide (hydrophilic or metallic). Patient who has bad evolves at 48 hours with abdominal pain, in epigastrium and right hypochondrium, fever. Who enters the operating room observing the subcapsular rupture hepatic hematoma and hemoperitoneum. Packaged and later unpacked. With good postoperative evolution. The importance is to report one more case to the few that exist.

REFERENCES

1. Kingsley DD, Schermer CR, Jamal MM. Rare complications of endoscopic retrograde cholangiopancreatography: two case reports. JSLS. 2001; 5: 171-173.

2. Wu WC, Katon RM. Injury to the liver and spleen after diagnostic ERCP. Gastrointest Endosc. 1993; 39: 824-827.

3. Bartolo-Rangel EF, Endoqui-Anaya Y, Trejo-Suárez J, Esperón-Lorenzana I, Dávila-Jolly H, Álvarez-Olmos J, et al. Hematoma hepático subcapsular roto y choque hipovolémico como una complicación inusual tras la realización de colangiopancreatografía retrógrada endoscópica: Reporte de un caso. Cir Gen. 2012; 34: 217-220.

4. Baudet JS, Arguiñarena X, Redondo I, Tadeo E, Navazo L, Mendiz J, et al. Hematoma hepático subcapsular. Una rara complicación de la CPRE. Gastroenterol Hepatol. 2011; 34: 79-82.

5. Bhati CS, Inston N, Wigmore SJ. Subcapsular intrahepatic hematoma: an unusual complication of ERCP. Endoscopy. 2007; 39 Suppl 1: E150.

6. Ortega-Deballon P, Fernández-Lobato R, García-Septiem J, Nieves-Vázquez MA, Martínez-Santos C, Moreno-Azcoita M. Liver hematoma following endoscopic retrograde cholangiopancreatography (ERCP). Surg Endosc. 2000; 14: 767.

7. Cárdenas A, Crespo G, Balderramo D, Bordas JP, Sendino O, Llach J. Subcapsular liver hematoma after Endoscopic Retrograde Cholangiopancreatography in a liver transplant recipient. Ann Hepatol. 2008; 7: 386-388.

8. McArthur KS, Mills PR. Subcapsular hepatic hematoma after ERCP. Gastrointest Endosc. 2008; 67: 379-380.

9. Priego P, Rodríguez G, Mena A, Losa N, Aguilera A, Ramiro C, et al. Subcapsular liver hematoma after ERCP. Rev Esp Enferm Dig. 2007; 99: 53-54.

10. Horn TL, Peña LR. Subcapsular hepatic hematoma after ERCP: case report and review. Gastrointest Endosc. 2004; 59: 594-596.