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Hematoma subcapsular hepático pos-CPRE: reporte de caso y revisión de la literatura / Subcapsular hepatic hematoma after ERCP. Case report and literature review
Rey-Chaves, Carlos Eduardo; Benítez, Elkin; Gutíerrez, Fernando; Sabogal-Olarte, Juan Carlos.
  • Rey-Chaves, Carlos Eduardo; Hospital Universitario Mayor Méderi. Bogotá. CO
  • Benítez, Elkin; Universidad del Rosario. Bogotá. CO
  • Gutíerrez, Fernando; Universidad del Rosario. Bogotá. CO
  • Sabogal-Olarte, Juan Carlos; Hospital Universitario Mayor Méderi. Bogotá. CO
Rev. colomb. gastroenterol ; 36(supl.1): 59-62, abr. 2021. graf
Article in Spanish | LILACS | ID: biblio-1251548
RESUMEN
Resumen Presentamos el caso de un paciente de 68 años, sin antecedentes de importancia, que por su cuadro clínico y resultados paraclínicos fue clasificado con riesgo intermedio para coledocolitiasis. En efecto, por medio de colangiorresonancia se realizó el diagnóstico confirmatorio. Fue llevado a colangiopancreatografía retrograda endoscópica en dos ocasiones -la primera fallida por papila intradiverticular-; en el segundo intento (exitoso con extracción del lito), el paciente presentó evolución posprocedimiento tórpida, con marcado dolor abdominal y anemización. Fue llevado a tomografía de abdomen con contraste, la cual confirmó el diagnóstico de hematoma subcapsular. Se decidió implementar el manejo conservador y se logró un control adecuado del sangrado.
ABSTRACT
Abstract This is the case of a 68-year-old female patient, with no relevant history, who was classified as intermediate risk for choledocholithiasis due to her symptoms and lab test results. The diagnosis was confirmed by means of cholangioresonance. She was taken to ERCP on two occasions; the first failed due to intradiverticular papilla, and during the second attempt (successful with the removal of the stone), the patient had a torpid post-procedure evolution, with marked abdominal pain and anemization. An abdominal tomography with contrast was performed, which confirmed the diagnosis of subcapsular hematoma. A conservative management was implemented, achieving adequate bleeding control.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Cholangiopancreatography, Endoscopic Retrograde / Hematoma Type of study: Systematic reviews Limits: Aged / Humans / Male Language: Spanish Journal: Rev. colomb. gastroenterol Journal subject: Gastroenterology Year: 2021 Type: Article Affiliation country: Colombia Institution/Affiliation country: Hospital Universitario Mayor Méderi/CO / Universidad del Rosario/CO

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Full text: Available Index: LILACS (Americas) Main subject: Cholangiopancreatography, Endoscopic Retrograde / Hematoma Type of study: Systematic reviews Limits: Aged / Humans / Male Language: Spanish Journal: Rev. colomb. gastroenterol Journal subject: Gastroenterology Year: 2021 Type: Article Affiliation country: Colombia Institution/Affiliation country: Hospital Universitario Mayor Méderi/CO / Universidad del Rosario/CO