Introduction Hepatic hematoma is a rare but possible complication of ERCP. We describe the case of a 75-year old man with a large, 8 × 12 cm, sub-capsular and intra-parenchymal hematoma post ERCP, affecting the right liver segments and treated conservatively. Areas covered A review of literature has been performed, highlighting two possible mechanisms: hematoma may occur as the result of accidental laceration of a small intrahepatic vessel by the guidewire, whereas the other hypothesis posits that the hepatic damage is secondary to traction on the biliary system exerted by the balloon. We speculate that in case of anomalies of the biliary tree, the incidence of this complication is higher than expected. Expert commentary In case of hepatic hematoma post ERCP, a conservative approach should always be considered before proceeding to interventional radiologic procedures or to surgical therapy.

Subcapsular hepatic hematoma post-ERCP. Case report and review of the literature / Sommariva, C.; Lauro, A.; Pagano, N.; Vaccari, S.; D'Andrea, V.; Marino, I. R.; Cervellera, M.; Tonini, V.. - In: DIGESTIVE DISEASES AND SCIENCES. - ISSN 0163-2116. - 64:8(2019), pp. 2114-2119. [10.1007/s10620-019-05679-3]

Subcapsular hepatic hematoma post-ERCP. Case report and review of the literature

Lauro A.
Secondo
Writing – Review & Editing
;
Vaccari S.;D'Andrea V.;
2019

Abstract

Introduction Hepatic hematoma is a rare but possible complication of ERCP. We describe the case of a 75-year old man with a large, 8 × 12 cm, sub-capsular and intra-parenchymal hematoma post ERCP, affecting the right liver segments and treated conservatively. Areas covered A review of literature has been performed, highlighting two possible mechanisms: hematoma may occur as the result of accidental laceration of a small intrahepatic vessel by the guidewire, whereas the other hypothesis posits that the hepatic damage is secondary to traction on the biliary system exerted by the balloon. We speculate that in case of anomalies of the biliary tree, the incidence of this complication is higher than expected. Expert commentary In case of hepatic hematoma post ERCP, a conservative approach should always be considered before proceeding to interventional radiologic procedures or to surgical therapy.
2019
Abdominal pain; ERCP; Endoscopic procedure; Hepatic hematoma; Pancreatitis
01 Pubblicazione su rivista::01g Articolo di rassegna (Review)
Subcapsular hepatic hematoma post-ERCP. Case report and review of the literature / Sommariva, C.; Lauro, A.; Pagano, N.; Vaccari, S.; D'Andrea, V.; Marino, I. R.; Cervellera, M.; Tonini, V.. - In: DIGESTIVE DISEASES AND SCIENCES. - ISSN 0163-2116. - 64:8(2019), pp. 2114-2119. [10.1007/s10620-019-05679-3]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1287276
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