ENDOSKOPİK RETROGRAD KOLANJİOPANKREATOGRAFİ (ERCP) SONRASI ÎNSÎDENTAL SUBKAPSÜLER KARACİĞER HEMATOMU

Öz

Endoskopik retrograd kolanjiopankreatografi (ERCP) sonrası karaciğer hematomu nadir görülen bir durumdur. Bununla ilgili literatürde az sayıda olgu rapor edilmiştir. Bu olgularda ilk semptomun genellikle karın ağrısı olduğu bildirilmektedir. Ancak bizim olgumuz tesadüfen tespit edilmiştir. Ortak hepatik kanalda taş mevcudiyeti nedeni iie 34 yaşındaki kadın hastaya ERCP işlemi yapılmış ve sonrasında karaciğer sol lobda daha önceden olmayan subkapsüler hematom fark edilmiştir. Hemodinamik olarak stabil olan hastaya konservatif yaklaşım tercih edilmiş ve takipte hematomun gerilediği gözlenmiştir. ERCP sonrası subkapsüler karaciğer hematomu insidental olarak tespit edilebilir. Dr. Abdullah KISAOĞLU Dr. Bünyamin ÖZOGUL Dr. Atıf BAYRAMOGLU Dr. Sabri Selçuk ATAMANALP Dr. Mecit KANTARCI

Anahtar Kelimeler

• Endoskopik retrograd kolanjiopankreatografi
• hematom
• insidental
• karaciğer
• komplikasyon

INCIDENTAL SUBCAPSULAR HEPATIC HEMATOMA FOLLOWING ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP)

Öz

Subcapsular hepatic hematoma after endoscopic retrograde cholangiopancreatography (ERCP) is a rare complication, with few cases reported in the literature. The primary symptom of most reported cases is abdominal pain. However, our case was determined incidentally. ERCP was performed on a 34-year-old female patient because of the stone in her common bile duct. Postoperatively, subcapsular hematoma was determined in the left lobe of the liver. The hemodynamically stable patient was approached conservatively. The subcapsular hepatic hematoma had regressed at the follow-up. Subcapsular hepatic hematoma after ERCP can be detected incidentally.

Anahtar Kelimeler

• Endoscopic retrograde cholangiopancreatography
• hematoma
• incidental
• Hepatic
• complication

Kaynakça

1. 1. Ortega DP, Fernandez LR, Garcia SJ, Nieves VMA, Martinez SC, Moreno AM. Liver hematoma following endoscopic retrograde cholangiopancreatography (ERCP). Surg Endosc. 2000; 14:767.
2. 2. Ruiz-Tovar J, Lobo E, Sanjuanbenito A, Martinez-Molina E. Case series: pneumoretroperitoneum secondary to duodenal perforation after endoscopic retrograde cholangiopancreatography. Can J Surg 2009;52:68-9.
3. 3. Chi KD, Waxman I. Subcapsular hepatic hematoma after guide wire injury during endoscopic retrograde cholangiopancreatography: management and review. Endoscopy. 2004; 36: 1019-21
4. 4. Paris C, Bejjani J, Beaunoyer M, Ouimet A. Endoscopic retrograde cholangiopancreatography is useful and safe in children. J Pediatr Surg 2010;45: 938-42. KAYNAKLAR
5. 5. Fei BY, Li CH. Subcapsular hepatic haematoma after endoscopic retrograde cholangiopancrea-tography: An unusual case. World J Gastroenterol 2013; 19: 1502-4.
6. 6. Orellana F, Irarrazaval J, Galindo J, et al. Subcapsular hepatic hematoma post ERCP: a rare or an underdiagnosed complication? Endoscopy 2012;44: E108-9.
7. 7. Del Pozo D, Moral I, Poves E, Sanz C, Martın M. Subcapsular hepatic hematoma following ERCP: case report and review. Endoscopy 2011 ;43:E164-5.
8. 8. Lynch SP, Evans JA. Difficult biliary cannulation. Curr Gastroenterol Rep 2010; 12:135-40.

9. 9. Horn TL, Pena LR. Subcapsular hepatic hematoma after ERCP: case report and review. Gastrointest Endosc 2004;59: 594-6.
10. 10. Wu WC, Katon RM. Injury to the liver and spleen after diagnostic ERCP. Gastrointest Endosc 1993;39:824-7.
11. 11. Priego P, Rodriguez G, Mena A, et al. Subcapsular liver hematoma after ERCP. Rev Esp Enferm Dig 2007;99: 53-4.
12. 12. Nari GA, Preciado Vargas J, Rosendo Ballesteros N. A rare complication of ERCP: sub-capsular liver haematoma. Cir Esp 2009;85:261-2.
13. 13. Cardenas A, Crespo G, Balderramo D, Bordas JP, Sendino O, Llach J. Subcapsular liver hematoma after Endoscopic Retrograde Cholangiopancreatography in a liver transplant recipient. Ann Hepatol 2008;7:386-8.
14. 14. Revuelto Rey J, Gordillo Escobar E, Ba-talha P. Subcapsular hepatic hematoma after ERCP. Med Intensiva 2010;34:224.