# Rare Complication of a Subcapsular Hepatic Biloma Following Endoscopic Retrograde Cholangiopancreatography for Choledocholithiasis

## TL;DR

A rare case of a subcapsular hepatic biloma after ERCP is reported, highlighting the need for prompt diagnosis and treatment to prevent serious complications.

## Contribution

This paper presents a rare clinical case of a subcapsular hepatic biloma following ERCP, emphasizing early detection and intervention.

## Key findings

- A middle-aged woman developed a symptomatic subcapsular hepatic biloma after ERCP for choledocholithiasis.
- The patient was successfully treated with radiology-guided drainage and repeat ERCP.
- Early imaging and clinical monitoring were critical for recovery.

## Abstract

A subcapsular biloma is an uncommon but potentially serious complication of endoscopic retrograde cholangiopancreatography (ERCP). We present the case of a middle-aged woman who developed a symptomatic subcapsular hepatic biloma following ERCP for choledocholithiasis. She was treated with a combination of interventional radiology-guided drainage and repeat ERCP. Early imaging and close clinical monitoring were important to her recovery. This case underscores the importance of maintaining a significant suspicion for atypical post-ERCP presentations and intervening promptly to avoid complications.