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Published on: September 20, 2020
Hepatic subcapsular hematoma post-endoscopic retrograde cholangiopancreatography requiring embolization
Flor M ª Fernández-Gordón Sánchez1, Laura Cudero Quintana2, María Algara San Nicolás2
1Aparato Digestivo, Hospital Universitario 12 de Octubre, España.
Abstract:
Endoscopic retrograde cholangiopancreatography (ERCP) placement of biliary stents is the procedure of choice for bile duct strictures. Complications of endoscopic retrograde cholangiopancreatography have a low incidence. Hepatic subcapsular hematoma is uncommon but potentially serious. It is caused by laceration of the bile duct with guidewire or biliary traction during the procedure. Initial management is conservative with supportive measures. In case of hemodynamic instability or superinfection, embolization of the affected branch or even surgery could be performed.
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