Liver hematoma following endoscopic retrograde cholangiopancreatography (ERCP).
We report the case of an 81-year-old man who presented with abdominal pain following endoscopic retrograde cholangiopancreatography (ERCP) for choledocholithiasis. A diagnosis of infected hematoma was made. A CT-guided puncture produced bloody matter that grew Citrobacter freundii. A catheter was left in place for 3 weeks before the patient could be discharged from hospital. We hypothesize that the hepatic parenchyma had been torn by the guide used during the ERCP. This case represents the first report of this type of iatrogenic injury.
Ortega Deballon
P
P
Department of Surgery, Hospital Universitario de Getafe (Madrid), Ctra. de Toledo Km. 12,500, 28905 Getafe, Spain.
Fernández Lobato
R
R
García Septiem
J
J
Nieves Vázquez
M A
MA
Martínez Santos
C
C
Moreno Azcoita
M
M
D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D000369:Aged, 80 and over; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects*; D017081:Cholecystectomy, Laparoscopic; D042882:Gallstones / Q000000981:diagnostic imaging* / Q000601:surgery; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D008107:Liver Diseases / Q000209:etiology*; D008297:Male; D016717:Sphincterotomy, Endoscopic / Q000009:adverse effects