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经内镜逆行胰胆管造影术后肝包膜下血肿,从保守治疗到紧急手术:一种不常见但极其严重的并发症。

Post-ERCP hepatic subcapsular hematoma, from conservative therapy to emergency surgery: an unusual though extremely serious complication.

机构信息

Cirugía General y Aparato Digestivo, Hospital Santos Reyes - Aranda de Duero, España.

Unidad Hepato-biliopancreática, Hospital Universitario Cruces, España.

出版信息

Rev Esp Enferm Dig. 2019 Sep;111(9):721-723. doi: 10.17235/reed.2019.5787/2018.

Abstract

Based on two clinical cases that developed subcapsular hematoma after ERCP procedure and resolved each one differently (conservative management and surgery, respectively) we have made a brief review of current status, risk factors and treatment options. We also summarize the cases that required surgery. With the increase of endoscopic procedures, it is important to consider this type of major and severe complication.

摘要

基于两例在 ERCP 手术后发生包膜下血肿的临床病例,我们分别采用了不同的治疗方法(分别为保守治疗和手术治疗),对当前的状况、风险因素和治疗选择进行了简要回顾。我们还总结了需要手术治疗的病例。随着内镜检查数量的增加,考虑这种严重并发症变得非常重要。

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