Hepatic hematoma after ERCP: two new case reports.

Area of Science:

• Gastroenterology
• Hepatology
• Endoscopic Procedures

Background:

• Endoscopic Retrograde Cholangiopancreatography (ERCP) is a common procedure for diagnosing and treating biliary and pancreatic duct issues.
• ERCP carries a complication risk of 2.5-8%, with pancreatitis, cholangitis, hemorrhage, and perforation being most frequent.
• Hepatic hematoma is a rare but serious complication following ERCP, with limited reported cases.

Observation:

• This report details two new cases of hepatic hematoma occurring after ERCP.
• The cases highlight the potential for significant intra-abdominal bleeding post-procedure.
• Clinical presentation and diagnostic findings are discussed for these specific instances.

Findings:

• Hepatic hematoma post-ERCP, though rare, represents a significant risk.
• Early recognition and appropriate management are crucial for patient outcomes.
• Literature review provides insights into current therapeutic strategies.

Implications:

• Increased awareness of hepatic hematoma as a potential ERCP complication is warranted.
• Further research into risk factors and preventative measures for hepatic hematoma is needed.
• This study contributes to the understanding and management of rare ERCP-related injuries.