<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-9957</journal-id>
<journal-title><![CDATA[Revista colombiana de Gastroenterología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. colomb. Gastroenterol.]]></abbrev-journal-title>
<issn>0120-9957</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Gastroenterología  ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-99572025000100099</article-id>
<article-id pub-id-type="doi">10.22516/25007440.1203</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Subcapsular Hematoma Following Endoscopic Retrograde Cholangiopancreatography (ERCP): Complex Cases Requiring Open and Endovascular Intervention - Case Reports]]></article-title>
<article-title xml:lang="es"><![CDATA[Hematoma subcapsular posterior a la colangiopancreatografía retrógrada endoscópica (CPRE), casos difíciles con necesidad de intervención abierta y endovascular: reportes de caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castillo-Orrego]]></surname>
<given-names><![CDATA[Javier Del]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Conrado-Jiménez]]></surname>
<given-names><![CDATA[Héctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Zuleta]]></surname>
<given-names><![CDATA[Martín Alonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Montalvo]]></surname>
<given-names><![CDATA[Carlos Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres-Méndez]]></surname>
<given-names><![CDATA[Andrés Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario de la Samaritana  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Hernando Moncaleano Perdomo  ]]></institution>
<addr-line><![CDATA[Neiva ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Fundación Universitaria Sanitas  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<volume>40</volume>
<numero>1</numero>
<fpage>99</fpage>
<lpage>103</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-99572025000100099&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-99572025000100099&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-99572025000100099&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract 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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La colangiopancreatografía retrógrada endoscópica (CPRE) es un procedimiento diagnóstico y terapéutico indispensable en el manejo de la enfermedad biliopancreática; sin embargo, tiene una tasa de complicaciones hasta del 6,85%. El hematoma subcapsular hepático es un evento muy infrecuente, el cual en la mayoría de los casos se beneficia del manejo médico conservador y expectante. En ocasiones muy particulares requiere de intervenciones invasivas correctivas, como la angiografía y la embolización vascular o la exploración abierta. Se presentan los casos de dos pacientes mujeres adultas jóvenes, sin comorbilidades de importancia previa, quienes después de la intervención con CPRE presentaron clínica de dolor abdominal, anemia e hipotensión, diagnosticadas con la presencia de un hematoma subcapsular hepático post CPRE. Recibieron intervención de forma integral, bajo una aproximación multidisciplinaria, y requirieron intervenciones diferentes, percutáneo endovascular y drenaje abierto, con resultados igual de favorables.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Abdominal pain]]></kwd>
<kwd lng="en"><![CDATA[endoscopic retrograde cholangiopancreatography]]></kwd>
<kwd lng="en"><![CDATA[hematoma]]></kwd>
<kwd lng="en"><![CDATA[therapeutic embolization]]></kwd>
<kwd lng="es"><![CDATA[Dolor abdominal]]></kwd>
<kwd lng="es"><![CDATA[colangiopancreatografía retrógrada endoscópica]]></kwd>
<kwd lng="es"><![CDATA[hematoma]]></kwd>
<kwd lng="es"><![CDATA[embolización terapéutica]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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