Subcapsular intrahepatic hematoma: an unusual complication of ERCP.
Liver Unit, Queen Elizabeth Hospital, Birmingham, United Kingdom.Endoscopy (impact factor: 5.21). 03/2007; 39 Suppl 1:E150. DOI:10.1055/s-2007-966241 pp.E150
Article: Subcapsular liver hematoma after Endoscopic Retrograde Cholangiopancreatography in a liver transplant recipient.[show abstract] [hide abstract]
ABSTRACT: Endoscopic Retrograde Cholangiopancreatography (ERCP) is commonly performed in patients after liver transplantation. The most common indications for ERCP include treatment of bile leaks and anastomotic and nonanastomotic biliary strictures. In this report we describe an unusual complication of ERCP in a liver transplant recipient with a bile leak two months after orthotopic liver transplantation (OLT). After confirming a bile leak, a hydrophilic guide wire was placed in the intrahepatic duct, an endoscopic sphincterotomy was performed, and a biliary plastic stent was successfully placed over the wire across the bile leak. Within the following 24 hours the patient developed a sharp right-sided upper quadrant pain and a drop in his hemoglobin level. An abdominal CT scan demonstrated a subcapsular hepatic hematoma that was successfully managed conservatively.Annals of hepatology: official journal of the Mexican Association of Hepatology 7(4):386-8. · 1.81 Impact Factor
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