Subcapsular hepatic haematoma of the right lobe following endoscopic retrograde cholangiopancreatography: Case report and literature review

World J Gastroenterol. 2016 May 7;22(17):4411-5. doi: 10.3748/wjg.v22.i17.4411.

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.

Keywords: Abdominal pain; Embolization; Endoscopic guidewire; Endoscopic retrograde cholangiopancreatography; Subcapsular hepatic hematoma.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Cholangiopancreatography, Endoscopic Retrograde / adverse effects*
  • Female
  • Hematoma / diagnostic imaging
  • Hematoma / etiology*
  • Humans
  • Liver Diseases / diagnostic imaging
  • Liver Diseases / etiology*
  • Middle Aged
  • Tomography, X-Ray Computed