title: [Spontaneous liver rupture in a patient with choledocholithiasis resolved by ERCP].
abstract: We present the case of a 34 years old female patient who presents with abdominal pain and elevated total and direct bilirrubins, so she underwent ERCP Reporting: a) successful sphincterotomy without complications, b) choledocholithias is endoscopically resolved, c) secondary cholangitis. She developed significant abdominal pain at 72 h, with hypovolemic shock and peritoneal irritation. She was taken to the surgery, finding a grade III liver laceration. This one was resolved with liver raffia and packing, during the same operative time cholecystectomy was performed. A second look was performed at 24 h, achieving adequate control of bleeding after placing hemostatic (Nexstat®). The patient developed a subdiaphragmatic abscess which needed drainage by another laparotomy. After which the patient had a satisfactory evolution, so she was discharged.
authors.affiliation: Hospital General Ajusco Medio, Secretaría de Salud de la Administración Pública Federal. México, D.F., México.
authors.forename: Jesús A
authors.initials: JA
authors.lastname: Bahena-Aponte
authors.affiliation: Servicio de Cirugía General, Hospital General Ajusco Medio, Secretaría de Salud de la Administración Pública Federal. México, D.F., México.
authors.forename: Guillermo
authors.initials: G
authors.lastname: Ramírez de Aguilar
authors.affiliation: Servicio de Cirugía General, Hospital General Ajusco Medio, Secretaría de Salud de la Administración Pública Federal. México, D.F., México.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Torres Carrillo
authors.affiliation: Servicio de Cirugía General, Hospital General Ajusco Medio, Secretaría de Salud de la Administración Pública Federal. México, D.F., México.
authors.forename: Luis
authors.initials: L
authors.lastname: Espino Urbina
authors.affiliation: Servicio de Cirugía General, Hospital General Ajusco Medio, Secretaría de Salud de la Administración Pública Federal. México, D.F., México.
authors.forename: Jesús A
authors.initials: JA
authors.lastname: Sánchez González
mesh_terms: D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D042883:Choledocholithiasis / Q000601:surgery*; D005260:Female; D006801:Humans; D008107:Liver Diseases / Q000175:diagnosis* / Q000209:etiology; D011183:Postoperative Complications / Q000175:diagnosis*; D012422:Rupture, Spontaneous; D016717:Sphincterotomy, Endoscopic