Intraparenchymal hepatic hematoma following endoscopic retrograde cholangiopancreatography: Risk factors and conservative approach in acute management

Endoscopic retrograde cholangiopancreatography(ERCP) is an invasive procedure with a complication rate ranging from 4% to 10% [1]. While post-procedure pancreatitis is the most common risk, bleeding also deserves attention. The most common symptoms of post-procedure bleeding were abdominal pain(91.7%), anemia(43.8%), hypotension(29.2%) and fever(20.8%) [2,3].