• Georgio El Koubayati, Tatiana Charbel, Antoine Aoun, and Randa Choueiry.
• Faculty of Medical Sciences, Lebanese University, Hadath Campus, Beirut, Lebanon.
• Medicine (Baltimore). 2024 Mar 29; 103 (13): e37705e37705.

IntroductionEndoscopic retrograde cholangiopancreatography (ERCP) is commonly used in gastroenterology wards for both diagnostic and therapeutic purposes. It doesn't however come free of complications. As a matter of fact, complications are reported in up to 10% of patients undergoing ERCP.Patient ConcernsIn this article, we report the case of a patient who underwent ERCP and sphincterotomy for choledocholithiasis. Twenty-four hours after the procedure, the patient developed sudden sharp abdominal pain and dropped her hemoglobin levels.DiagnosisAn emergent gastroscopy was done and it ruled out bleeding from the sphincterotomy. Computed tomography of the abdomen showed a large hepatic subcapsular hematoma.InterventionsBlood was urgently transfused and the patient was transferred to the intensive care unit for monitoring.OutcomesThe patient's condition quickly deteriorated despite extensive resuscitative measures, and eventually passed away on day 4 post ERCP.LessonsHepatic subcapsular hematoma is a very rare but fatal complication after ERCP and should be ruled out in patients who underwent the procedure and develop sudden abdominal pain with hemodynamic and laboratory instability.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

15 keywords...

hide…