Segura Gago Gino Perley, León Quispe Diego Adolfo, Nivin Huerta Juan Jesús, Baldera Guayambal Jose Oscar
Departamento de Gastroenterología, Hospital Nacional Hipólito Unanue. Lima, Perú; Sociedad Científica de San Fernando, Universidad Nacional Mayor de San Marcos. Lima, Perú.
Departamento de Gastroenterología, Hospital Nacional Hipólito Unanue. Lima, Perú.
Rev Gastroenterol Peru. 2022 Jan-Mar;42(1):48-52.
Endoscopic retrograde cholangiopancreatography (ERCP) is currently considered a diagnostic and therapeutic procedure in obstructive lesions of the biliary tract, especially choledocholithiasis and stenosis, as well as in pancreatic diseases in general. However, it is known the development of certain complications such as acute pancreatitis, acute cholangitis, cholecystitis among others of lower incidence within which the hepatic subcapsular hematoma takes relevance due to its high mortality. We present the case of a 52-year-old male patient who three hours after undergoing ERCP develops abdominal pain of sudden onset with significant reduction of hematocrit, and imaging study shows a hepatic subcapsular hematoma. He was initially managed conservatively and then proceeded to a percutaneous drainage, subsequently showing residual descending contents by radiological follow-up.
内镜逆行胰胆管造影术（ERCP）目前被认为是一种用于诊断和治疗胆道梗阻性病变的方法，尤其是胆总管结石和狭窄，以及一般的胰腺疾病。然而，已知会发生某些并发症，如急性胰腺炎、急性胆管炎、胆囊炎等，其中肝包膜下血肿因其高死亡率而具有相关性。我们报告一例52岁男性患者，在接受ERCP术后三小时突然出现腹痛，血细胞比容显著降低，影像学检查显示肝包膜下血肿。他最初接受保守治疗，随后进行了经皮引流，随后的影像学随访显示有残留的下行内容物。
