Abstract

CASTILLO-ORREGO, Javier Del et al. Subcapsular Hematoma Following Endoscopic Retrograde Cholangiopancreatography (ERCP): Complex Cases Requiring Open and Endovascular Intervention - Case Reports. Rev. colomb. Gastroenterol. [online]. 2025, vol.40, n.1, pp.99-103.  Epub June 09, 2025. ISSN 0120-9957.  https://doi.org/10.22516/25007440.1203.

Endoscopic retrograde cholangiopancreatography (ERCP) is an essential diagnostic and therapeutic procedure for managing biliopancreatic disease; however, it carries a complication rate of up to 6.85%. Subcapsular hepatic hematoma is a rare occurrence, which in most cases can be effectively managed with conservative and expectant medical care. In certain exceptional situations, invasive corrective interventions such as angiography with vascular embolization or open surgical exploration are required. This report presents two cases of young adult female patients with no significant pre-existing comorbidities who developed abdominal pain, anemia, and hypotension following ERCP. They were subsequently diagnosed with post-ERCP subcapsular hepatic hematoma. Both patients underwent comprehensive treatment through a multidisciplinary approach, requiring different interventions-one with percutaneous endovascular management and the other with open drainage-both yielding equally favorable outcomes.

Keywords : Abdominal pain; endoscopic retrograde cholangiopancreatography; hematoma; therapeutic embolization.

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