Giant Hepatic Subcapsular Hematoma after Endoscopic Retrograde Cholangiopancreatography (ERCP): A Case Report

Abstract

Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) is one of the most commonly performed minimally invasive procedures for the diagnosis and treatment of biliary and pancreatic diseases. Hepatic hematoma secondary to ERCP is a rare and potentially serious complication with few cases described in the literature. Objective: The objective is to present a case of a giant hepatic subcapsular hematoma (HSH) secondary to ERCP, surgically resolved by laparotomy due to its recurrence and significant growth. Case report: We present the case of a 55-year-old female patient with a history of laparoscopic cholecystectomy and subsequent ERCP due to residual choledocholithiasis. The patient presented intense abdominal pain and fever after being discharged home, so she was admitted to the general surgery service where a HSH was diagnosed. Initially, conservative treatment with imaging follow-up is indicated, however, due to growth of the hematoma and recurrence, surgical treatment is indicated. Conclusion: Most patients respond to conservative treatment, however there will be patients who require surgical treatment, so suspecting this pathology will help provide timely treatment.