title: Subcapsular hepatic haematoma of the right lobe following endoscopic retrograde cholangiopancreatography: Case report and literature review.
abstract: Sub capsular hepatic haematoma is a rare complication after endoscopic retrograde cholangiopancreatography (ERCP). Exact pathological mechanism is still unclear and few reports are nowadays available in literature. We report the case of a 58-year-old woman with recurrent episodes of upper abdominal pain, nausea and vomiting. On the basis of laboratory exams, abdomen ultrasound and magnetic resonance imaging she was diagnosed with a common bile duct stone. Endoscopic biliary sphincterotomy was performed. On the following day the patient complaint severe abdominal pain with rebound and hemodynamic instability. A computed tomography scan reveal a 14 cm × 6 cm × 19 cm sub-capsular hepatic haematoma on the right lobe that was successfully managed via percutaneous embolization. Sub capsular liver haematoma is a rare life threatening complication after ERCP that should be managed according to patients' haemodynamic and clinic.
authors.affiliation: Marco Antonio Zappa, Alberto Aiolfi, Ilaria Antonini, Cinzia Domenica Musolino, Andrea Porta, University of Milan, Department of General and Emergency surgery, Ospedale S Famiglia Fatabenefratelli, 22036 Erba, Italy.
authors.forename: Marco Antonio
authors.initials: MA
authors.lastname: Zappa
authors.affiliation: Marco Antonio Zappa, Alberto Aiolfi, Ilaria Antonini, Cinzia Domenica Musolino, Andrea Porta, University of Milan, Department of General and Emergency surgery, Ospedale S Famiglia Fatabenefratelli, 22036 Erba, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Aiolfi
authors.affiliation: Marco Antonio Zappa, Alberto Aiolfi, Ilaria Antonini, Cinzia Domenica Musolino, Andrea Porta, University of Milan, Department of General and Emergency surgery, Ospedale S Famiglia Fatabenefratelli, 22036 Erba, Italy.
authors.forename: Ilaria
authors.initials: I
authors.lastname: Antonini
authors.affiliation: Marco Antonio Zappa, Alberto Aiolfi, Ilaria Antonini, Cinzia Domenica Musolino, Andrea Porta, University of Milan, Department of General and Emergency surgery, Ospedale S Famiglia Fatabenefratelli, 22036 Erba, Italy.
authors.forename: Cinzia Domenica
authors.initials: CD
authors.lastname: Musolino
authors.affiliation: Marco Antonio Zappa, Alberto Aiolfi, Ilaria Antonini, Cinzia Domenica Musolino, Andrea Porta, University of Milan, Department of General and Emergency surgery, Ospedale S Famiglia Fatabenefratelli, 22036 Erba, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Porta
mesh_terms: D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects*; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
keywords: Abdominal pain; Embolization; Endoscopic guidewire; Endoscopic retrograde cholangiopancreatography; Subcapsular hepatic hematoma