Case Report
 
Subcapsular left hepatic lobe hematoma: A potentially life-threatening post-ERCP complication
Alzubaidi A.M.1, Alshadadi A.A.1, Atta M.F.1, Alsareii S.A.2
1King Khalid Hospital – Najran/Gastroenterology, Saudi Arabia
2Faculty of Medicine, Surgical Department – Najran University, Saudi Arabia

Article ID: 100071IJHPDAM2017
doi: 10.5348/ijhpd-2017-71-CR-7

Address correspondence to:
Dr. Ali Mothanna Saleh Al-zubaidi
Consultant Gastroenterology and Hepatology King Khalid hospital – Najran
Clinical Assistant Professor Faculty of Medicine/Najran University
Saudi Arabia
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How to cite this article
Alzubaidi AM, Alshadadi AA, Atta MF, Alsareii SA. Subcapsular left hepatic lobe hematoma: A potentially life-threatening post-ERCP complication. Int J Hepatobiliary Pancreat Dis 2017;7:32–35.


Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) is minimally invasive procedure commonly performed for biliary and pancreatic diseases. According to literature, the most common related complication are pancreatitis, post-sphincterotomy bleeding, perforation and cholangitis. This is rare and exceptional ERCP complication and only few cases have been reported. We report a case of rare post-ERCP complication, subcapsular liver hematoma that was diagnosed 16 hour post-ERCP in 28-year-old lady with intra-abdominal collection, ultrasound guided drainage of suspected bile leak was done, but the drained fluid was bloody (blood mixed with bile), with total amount of 900 ml in the first 36 hours. Patient received 2 units packed RBCs and she maintain her vital sign and hemoglobin 8.5 g/dl. Computed tomography scan of abdomen revealed a large left hepatic lobe subcapsular hematoma 16x7x12 cm with no active bleeding causing compression of the left hepatic vessels. On the basis of laboratory, clinical, and hemodynamic parameters the patient was hemodynamically stable. She was managed conservatively with only ultrasound guided drained of abdominal collection and no any radiological or surgical intervention needed for the hematoma.

Keywords: Endoscopic retrograde cholangiopancreatography, Post-ERCP complication, Subcapsular hematoma


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Author Contributions
Alzubaidi A.M. – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Alshadadi A.A. – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Atta M.F. – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Alsareii S.A. – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Alzubaidi A.M. et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.