Abstract

VANERIO, Patricio et al. Urgent right hepatectomy for infected hepatic necrosis secondary to endoscopic cholangiography. Rev. argent. cir. [online]. 2024, vol.116, n.1, pp.65-69.  Epub Feb 26, 2024. ISSN 2250-639X.  http://dx.doi.org/10.25132/raac.v116.n1.1735.

Hepatic subcapsular hematoma is a rare but potentially lethal complication of endoscopic retrograde cholangiography. On the other hand, complications derived from the hematoma can be its rupture with the consequent massive bleeding, and/or portal thrombosis due to compression that evolves towards necrosis, which is susceptible to generally serious infections that require more aggressive management.

We present the case of a patient treated in our department who underwent retrograde endoscopic cholangiography as treatment for her acute cholangitis, presenting in the evolution a subcapsular hematoma that progressed to hepatic necrosis due to compression of the portal pedicle and later an infection of that necrosis. requiring an emergency right hepatectomy as surgical treatment.

Keywords : subcapsular hepático; complicación pos-CPRE; necrosis hepática infectada; hepatectomía derecha urgente.

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