Subcapsular hepatic hematoma post-endoscopic retrograde cholangiopancreatography: a case report and literature review


  • Olga E. Amador Department of General Surgery, Mazatlán Sinaloa México
  • Gabriel Gutierrez Garcia Department of General Surgery, Mazatlán Sinaloa México
  • Miguel Angel Echeverry Gutierrez Department of General Surgery, Instituto Mexicano Del Seguro Social, León, Guanajuato, México



Choledocholithiasis, Post-ERCP, , Subcapsular hepatic hematoma, Jaundice


A 23-year-old female with a history of long-standing obesity, recently was diagnosed with cholelithiasis, along with a 15 day development of jaundice. An ERCP (endoscopic retrograde cholangiopancreatography) was performed, during which resulted an unsuccessful sphincterotomy, this was followed by placing a 7-centimeter, 10 French Amsterdam-type stent, subsequently she experienced sudden abdominal pain, and a CT scan revealed a subcapsular hepatic hematoma, which required surgical management. The objective was to describe a clinical case of subcapsular hepatic hematoma, clinical presentation, and therapeutic conduct. The treatment of subcapsular hepatic hematoma will depend on the patient's hemodynamic stability. However, survival is uncertain due to its rarity, making it crucial to recognize its early signs and symptoms and act promptly.



Littlefield A, Lenahan C. Cholelithiasis: presentation and management. J Midwifery Womens Health. 2019;64(3):289-97.

Cianci P, Restini E. Management of cholelithiasis with choledocholithiasis: Endoscopic and surgical approaches. World J Gastroenterol. 2021;27(28):4536-54.

Dasari BVM, Tan CJ, Gurusamy KS, Martin DJ, Kirk G, McKie L, et al. Surgical versus endoscopic treatment of bile duct stones. Coch Database Systemat Rev. 2013;9:3327.

Pivetta LGA, Ferreira CP, de Carvalho JPV, Konichi RYL, Kawamoto VKF, Assef JC, et al. Hepatic subcapsular hematoma post-ERCP: Case report and literature review. Int J Surg Case Rep. 2020;72:219-28.

Sotelo-Carbajal J, Hernández-Zamora RE, Montaño-García NE, López-Prida JA, Acosta-Aguirre EF, Torres-Salazar QL. Hepatic subcapsular hematoma following endoscopic retrograde cholangiopancreatography. Report of two cases. Int J Surg Case Rep. 2023;111:108856.

McCarty TR, Gulati R, Rustagi T. Efficacy and safety of peroral cholangioscopy with intraductal lithotripsy for difficult biliary stones:a systematic review and meta-analysis. Endoscopy. 2021;53(2):110-22.

ASGE Standards of Practice Committee, Buxbaum JL, Fehmi SM, Sultan S, Fishman DS, Qumseya BJ, et al. ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis. Gastrointest Endos. 2019;89(6):1075-105.

Rácz I, Rejchrt S, Hassan M. Complications of ERCP: ethical obligations and legal consequences. Dig Dis. 2008;26(1):49-55.

Podboy A, Gaddam S, Park K, Gupta K, Liu Q, Lo SK. Management of difficult choledocholithiasis. Dig Dis Sci. 2022;67(5):1613-23.

Cerna-Cardona J. Manejo de lito difícil. Endoscopia. 2021;33(1):55-7.




How to Cite

Amador, O. E., Garcia, G. G., & Gutierrez, M. A. E. (2024). Subcapsular hepatic hematoma post-endoscopic retrograde cholangiopancreatography: a case report and literature review. International Journal of Research in Medical Sciences, 12(5), 1712–1714.



Case Reports