RESUMO
This case report describes a 37-year-old woman who develops an intraparenchymal hepatic haematoma after an endoscopic retrograde cholangiopancreatography with papillotomy and stone extraction. The procedure requires the passage of a guidewire. The patient develops acute abdominal pain 72 hours later and a magnetic resonance shows a hematoma of 124 x 93 mm. She remains under observation. Twenty one days later she complains of upper right abdominal pain and fever. Consequently, a percutaneous drainage is performed isolating Citrobacter freundii and Klebsiella pneumoniae BLEE. The patient has a good evolution.
Assuntos
Colangiopancreatografia Retrógrada Endoscópica/efeitos adversos , Coinfecção/microbiologia , Infecções por Enterobacteriaceae/etiologia , Hematoma/microbiologia , Hepatopatias/microbiologia , Adulto , Citrobacter freundii , Feminino , Humanos , Klebsiella pneumoniaeRESUMO
This case report describes a 37-year-old woman who develops an intraparenchymal hepatic haematoma after an endoscopic retrograde cholangiopancreatography with papillotomy and stone extraction. The procedure requires the passage of a guidewire. The patient develops acute abdominal pain 72 hours later and a magnetic resonance shows a hematoma of 124 x 93 mm. She remains under observation. Twenty one days later she complains of upper right abdominal pain and fever. Consequently, a percutaneous drainage is performed isolating Citrobacter freundii and Klebsiella pneumoniae BLEE. The patient has a good evolution.
Assuntos
Adulto , Feminino , Humanos , Colangiopancreatografia Retrógrada Endoscópica/efeitos adversos , Infecções por Enterobacteriaceae/etiologia , Coinfecção/microbiologia , Hematoma/microbiologia , Hepatopatias/microbiologia , Citrobacter freundii , Klebsiella pneumoniaeRESUMO
This case report describes a 37-year-old woman who develops an intraparenchymal hepatic haematoma after an endoscopic retrograde cholangiopancreatography with papillotomy and stone extraction. The procedure requires the passage of a guidewire. The patient develops acute abdominal pain 72 hours later and a magnetic resonance shows a hematoma of 124 x 93 mm. She remains under observation. Twenty one days later she complains of upper right abdominal pain and fever. Consequently, a percutaneous drainage is performed isolating Citrobacter freundii and Klebsiella pneumoniae BLEE. The patient has a good evolution.
