Serviços Personalizados
Journal
Artigo
Indicadores
Citado por SciELO
Links relacionados
Similares em SciELO
Compartilhar
Revista argentina de cirugía
versão impressa ISSN 2250-639Xversão On-line ISSN 2250-639X
Resumo
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-Fev-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.
Palavras-chave : subcapsular hepático; complicación pos-CPRE; necrosis hepática infectada; hepatectomía derecha urgente.