دورية أكاديمية
Rare case of hepatic haematoma following endoscopic retrograde cholangiopancreatography.
| العنوان: | Rare case of hepatic haematoma following endoscopic retrograde cholangiopancreatography. |
|---|---|
| المؤلفون: | Caroço TV; Cirurgia C, Hospital Geral (Covões) - Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.; Serviço de Cirurgia Geral, Instituto Português de Oncologia de Coimbra Francisco Gentil E.P.E, Coimbra, Portugal., Louro JM; Cirurgia C, Hospital Geral (Covões) - Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal., Coelho MI; Cirurgia C, Hospital Geral (Covões) - Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal., Costa Almeida CE; Cirurgia C, Hospital Geral (Covões) - Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal. |
| المصدر: | BMJ case reports [BMJ Case Rep] 2018 Apr 18; Vol. 2018. Date of Electronic Publication: 2018 Apr 18. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 101526291 Publication Model: Electronic Cited Medium: Internet ISSN: 1757-790X (Electronic) Linking ISSN: 1757790X NLM ISO Abbreviation: BMJ Case Rep Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BMJ Pub. Group |
| مواضيع طبية MeSH: | Abdominal Pain/*etiology , Cholangiopancreatography, Endoscopic Retrograde/*adverse effects , Hematoma/*diagnostic imaging , Liver Diseases/*diagnostic imaging , Postoperative Complications/*diagnostic imaging, Abdominal Pain/diagnostic imaging ; Aged ; Conservative Treatment ; Hematoma/etiology ; Humans ; Liver Diseases/etiology ; Male ; Postoperative Complications/therapy ; Treatment Outcome |
| مستخلص: | Endoscopic retrograde cholangiopancreatography (ERCP) is a commonly used diagnostic and therapeutic technique but it is not free of complications. Subcapsular hepatic haematoma is a rare but potentially fatal complication. A 71-years-old male patient resorted to the emergency department 36 hours after an uneventful ERCP presenting with severe abdominal pain and haemoglobin drop. Abdominal ultrasound and CT scan diagnosed a subcapsular hepatic haematoma. The patient was haemodynamically normal and was successfully treated with a conservative management. Signs and symptoms of hepatic haematoma following ERCP are non-specific. The most common symptom is abdominal pain. Abdominal CT, ultrasound or MRI make the diagnosis. Conservative management is possible if the patient is stable, nevertheless invasive treatment such as surgery or angiographic embolisation, may be required. A low threshold of suspicion is crucial for an early diagnosis and treatment. Fatal cases have been described but most patients have a favourable outcome. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.) |
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| فهرسة مساهمة: | Keywords: biliary intervention; endoscopy; general surgery; pancreas and biliary tract |
| تواريخ الأحداث: | Date Created: 20180420 Date Completed: 20180924 Latest Revision: 20240327 |
| رمز التحديث: | 20240327 |
| مُعرف محوري في PubMed: | PMC5911147 |
| DOI: | 10.1136/bcr-2017-222638 |
| PMID: | 29669766 |
| قاعدة البيانات: | MEDLINE |
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