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 le...

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Bibliographic Details
Published inSurgical endoscopy Vol. 14; no. 8; p. 767
Main Authors Ortega Deballon, P, Fernández Lobato, R, García Septiem, J, Nieves Vázquez, M A, Martínez Santos, C, Moreno Azcoita, M
Format Journal Article
LanguageEnglish
Published Germany 01.08.2000
Subjects
Abdominal Pain - etiology
Aged
Aged, 80 and over
Cholangiopancreatography, Endoscopic Retrograde - adverse effects
Cholecystectomy, Laparoscopic
Gallstones - diagnostic imaging
Gallstones - surgery
Hematoma - etiology
Humans
Liver Diseases - etiology
Male
Sphincterotomy, Endoscopic - adverse effects
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Summary: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.
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ISSN:0930-2794