Endoscopy 2020; 52(S 01): S301
DOI: 10.1055/s-0040-1704962
ESGE Days 2020 ePoster presentations
Colon and rectum 09:00–17:00 Thursday, April 23, 2020 ePoster area
© Georg Thieme Verlag KG Stuttgart · New York

HEPATIC SUBCAPSULAR HEMATOMA AFTER ERCP: AN UNCOMMON BUT POTENTIALLY VERY SERIOUS COMPLICATION

P Florez-Diez
1   Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
,
V Jimenez-Beltran
1   Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
,
N Rodriguez-Ferreiro
1   Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
,
A Nieto-Jara
1   Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
,
A Suarez-Noya
1   Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
,
C Del Caño-Cerdan
1   Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
,
L Carballo-Folgoso
1   Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
,
M Celada-Sendino
1   Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
,
A Gejo-Beneitez
1   Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
,
M Fraile-Lopez
1   Hospital Universitario Central de Asturias, Digestive, Oviedo, Spain
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

 
 

    Hepatic hematoma is an uncommon complication of ERCP, a potentially serious condition that requires specific treatment (surgery, embolization). A 37-year-old woman with choledocholithiasis underwent an ERCP with sphincterotomy and stone extraction, without incidents. 3 hours later she presented epigastric pain and anemization of 4 g of Hb. An urgent CT scan showed a left hepatic subcapsular hematoma of 14 × 6 cm, which compressed the hepatic surface, with gas bubbles in its deep portion, with no clear signs of active bleeding. Arteriography was decided without clear contrast extravasation points and empirical embolization was performed with Espongostan with good angiographic results, being discharged few days later.


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