Hématome sous-capsulaire hépatique après cholangiopancréatographie rétrograde endoscopique : description d’un cas clinique et revue de littérature

Petit-Laurent, Fabien; Scalone, O; Penigaud, Marianne; Barbeys, Jean

doi:10.1016/s0399-8320(07)91937-5

Cited by 17 publications

(2 citation statements)

References 11 publications

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“…In the previously reported cases, three [7] [12] [13] were treated surgically and four [2] [8] [14] [15] were treated with percutaneous drainage.…”

Section: Discussionmentioning

confidence: 99%

Subcapsular Hepatic Hematoma after ERCP: A Case Report and Revision of Literature

Klimova¹,

Suárez²,

Asanza³

et al. 2014

CRCM

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Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) is a minimally invasive procedure for diagnosis and treatment of biliary and pancreatic diseases. Even in the best hands, complications may occur. Clinically significant hemorrhagic complications associated usually to previous papillotomy are uncommon. Subcapsular hepatic hematoma is excepcional, with only twenty cases described. We present a case of a 52-year-old man who developed a large subcapsular liver hematoma following a therapeutic ERCP. Due to serious anemization and hemodynamic instability, arterial embolization and finally urgent surgical evacuation of the hematoma were performed. In the postoperative period the patient presented infection of the collection, which indicated colocation of percutaneous drainage and broad-spectrum intravenous antibiotics, and gradually recovered.

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“…In the previously reported cases, three [7] [12] [13] were treated surgically and four [2] [8] [14] [15] were treated with percutaneous drainage.…”

Section: Discussionmentioning

confidence: 99%

Subcapsular Hepatic Hematoma after ERCP: A Case Report and Revision of Literature

Klimova¹,

Suárez²,

Asanza³

et al. 2014

CRCM

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“…При одномоментном повреждении артерии и желчного протока создаются условия для инфицирования гематомы. Этим же можно объяснить наличие воздуха внутри гематомы [4,5].…”

Section: Discussionunclassified

Subcapsular Hepatic Hematoma after the Endoscopic Retrograde Cholangiopancreatography: Clinical Case and Literature Review

Pogrebnyakov,

Abdulkarimova,

Zagidullina

et al. 2023

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Endoscopic retrograde cholangiopancreatography (ERCP) is a minimally invasive procedure to diagnose and treat the biliary tract and pancreas’ diseases. We would like to present a clinical case of a 66yearold patient, who underwent ERCP due to obstructive jaundice complicated by the subcapsular hematoma, 11.6×4.7×13.4 cm in size according to the computed tomography (CT), and by the leftsided hydrothorax after the hematoma was removed. The patient was successfully treated and discharged on the 15th day after drainage of the pleural cavity. Subcapsular hematoma is a potentially lethal and rare complication that can be treated with a conservative therapy, if diagnosed at an early stage.

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Subcapsular Hepatic Hematoma Post-ERCP: Case Report and Review of the Literature

Sommariva¹,

Lauro²,

Pagano³

et al. 2019

Dig Dis Sci

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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.

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Hématome sous-capsulaire hépatique après cholangiopancréatographie rétrograde endoscopique : description d’un cas clinique et revue de littérature

Cited by 17 publications

References 11 publications

Subcapsular Hepatic Hematoma after ERCP: A Case Report and Revision of Literature

Subcapsular Hepatic Hematoma after ERCP: A Case Report and Revision of Literature

Subcapsular Hepatic Hematoma after the Endoscopic Retrograde Cholangiopancreatography: Clinical Case and Literature Review

Subcapsular Hepatic Hematoma Post-ERCP: Case Report and Review of the Literature

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