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Hepatic subcapsular hematoma: a rare late complication after ERCP
Revista Espanola De Enfermedades Digestivas
|August 17, 2016
Summary
A rare subcapsular hematoma complication occurred after Endoscopic Retrograde Cholangiopancreatography (ERCP) for bile duct stones. This case highlights a potential risk following the procedure, even without active bleeding.
Area of Science:
- Gastroenterology
- Interventional Endoscopy
- Abdominal Imaging
Background:
- Endoscopic Retrograde Cholangiopancreatography (ERCP) is a common procedure for managing choledocholithiasis (bile duct stones).
- While generally safe, ERCP carries potential complications that require prompt recognition and management.
- Subcapsular hematoma is a recognized, albeit infrequent, complication associated with ERCP.
Observation:
- An 83-year-old male presented with persistent right upper quadrant pain one week post-ERCP for choledocholithiasis.
- Computed tomography angiography (TAC) revealed a subcapsular hematoma.
- No active bleeding was identified on the imaging.
Findings:
- The patient's symptoms were attributed to a subcapsular hematoma, a rare post-ERCP complication.
- The absence of active bleeding suggested a contained or resolving hemorrhage.
- This clinical presentation underscores the importance of considering ERCP-related complications in patients with delayed abdominal pain.
Implications:
- This case emphasizes the need for heightened awareness of rare ERCP complications among clinicians.
- Accurate and timely diagnosis using imaging modalities like TAC is crucial for appropriate patient management.
- Further investigation into the mechanisms and risk factors for post-ERCP subcapsular hematomas may improve patient outcomes.
