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Rare Complication of a Subcapsular Hepatic Biloma Following Endoscopic Retrograde Cholangiopancreatography for
Thoufeer Ali1, Mohammed Iqbal1, Hameed Rizwan2
1Internal Medicine, Wrexham Maelor Hospital, Wrexham, GBR.
Abstract:
A subcapsular biloma is an uncommon but potentially serious complication of endoscopic retrograde cholangiopancreatography (ERCP). We present the case of a middle-aged woman who developed a symptomatic subcapsular hepatic biloma following ERCP for choledocholithiasis. She was treated with a combination of interventional radiology-guided drainage and repeat ERCP. Early imaging and close clinical monitoring were important to her recovery. This case underscores the importance of maintaining a significant suspicion for atypical post-ERCP presentations and intervening promptly to avoid complications.
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