Resumen

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 26-Feb-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.

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

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