title: Subcapsular hepatic hematoma after guide wire injury during endoscopic retrograde cholangiopancreatography: management and review.
abstract: Complications of endoscopic retrograde cholangiopancreatography (ERCP) that are associated with the guide wire are fortunately rare, but may be more common than is reported. We describe the case of a 43-year-old woman with obstructive jaundice from metastatic pancreatic cancer who underwent an elective ERCP for biliary stent placement. This was complicated by guide wire-associated injury that resulted in the development and eventual rupture of a subcapsular hepatic hematoma and which was successfully treated with nonsurgical management. If identified and treated rapidly, using a multidisciplinary approach (i. e., with medical, interventional radiology, and surgical input), such patients can be conservatively managed.
authors.affiliation: Section of Endoscopy and Therapeutics, University of Chicago, Chicago, USA.
authors.forename: K D
authors.initials: KD
authors.lastname: Chi
authors.forename: I
authors.initials: I
authors.lastname: Waxman
mesh_terms: D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects*; D004621:Embolization, Therapeutic; D005260:Female; D006406:Hematoma / Q000209:etiology* / Q000628:therapy; D006499:Hepatic Artery; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology; D008099:Liver / Q000293:injuries*; D010190:Pancreatic Neoplasms / Q000150:complications; D015607:Stents; D014057:Tomography, X-Ray Computed