Urgent right hepatectomy for infected hepatic necrosis secondary to endoscopic cholangiography

Subcapsular liver hematoma is a rare complication of endoscopic retrograde cholangiopancreatography. It can be potentially fatal and may result in rupture, massive bleeding, compression of the portal vein with thrombosis, necrosis and serious infections that require aggressive management. We report the case of a patient with acute cholangitis who developed a subcapsular liver hematoma after undergoing endoscopic retrograde cholangiopancreatography, complicated with hepatic necrosis due to compression of the portal vein pedicle and infected hepatic necrosis requiring an emergency right hepatectomy.