Subcapsular left hepatic lobe hematoma: A potentially life-threatening post-ERCP complication

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) is minimally invasive procedure commonly performed for biliary and pancreatic diseases. According to literature, the most common related complication are pancreatitis, post-sphincterotomy bleeding, perforation and cholangitis. This is rare and exceptional ERCP complication and only few cases have been reported. We report a case of rare post-ERCP complication, subcapsular liver hematoma that was diagnosed 16 hour post-ERCP in 28-year-old lady with intra-abdominal collection, ultrasound guided drainage of suspected bile leak was done, but the drained fluid was bloody (blood mixed with bile), with total amount of 900 ml in the first 36 hours.

Hepatic subcapsular hematoma: A rare complication post-ERCP; a case report

“…HSH is confirmed by imaging modalities such as abdominal US or CT scan. [10,[13][14][15] Treatment is mainly conservative for persistently stable patients, with prophylactic antibiotics recommended given the risk of infected hematoma. [16,17] Unstable patients with ruptured HSH or peritonitis should undergo surgical treatment.…”