Korean J Med.
2017 Aug;92(4):401-405. 10.3904/kjm.2017.92.4.401.
Subcapsular Hepatic Hematoma after Endoscopic Retrograde Cholangiopancreatography
- Affiliations
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- 1Department of Internal Medicine, Gwangmyeong Sungae Hospital, Gwangmyeong, Korea. kimhkgi@naver.com
- 2Department of Internal Medicine, Sungae Hospital, Seoul, Korea.
- KMID: 2392349
- DOI: http://doi.org/10.3904/kjm.2017.92.4.401
Abstract
- Endoscopic retrograde cholangiopancreatography (ERCP) is a useful tool for the diagnosis and management of diseases of the pancreas and biliary tract. However, ERCP has a high risk of procedure-related complications compared with other endoscopic procedures performed in the upper gastrointestinal tract. The most common complications are pancreatitis, cholangitis, hemorrhage, and perforation. Extraluminal hemorrhagic complications after ERCP are relatively rare but potentially life threatening and should be identified and treated immediately. We report a case of subcapsular hepatic hematoma after guidewire injury during ERCP in a 64-year-old woman with choledocholithiasis who had undergone ERCP with guidewire-assisted papillotomy for stone extraction. Although subcapsular hepatic hematoma is a very rare complication after ERCP, it should be considered in the differential diagnosis of patients complaining of abdominal pain after ERCP.
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