A 34-year-old female patient experienced abdominal pain and elevated bilirubin levels, leading to an ERCP procedure that involved a successful sphincterotomy and resolution of choledocholithiasis.
Following the procedure, she developed severe abdominal pain, hypovolemic shock, and peritoneal irritation, requiring emergency surgery that discovered a grade III liver laceration, which was addressed alongside a cholecystectomy.
After a second surgery to control bleeding and treat a subsequent subdiaphragmatic abscess, the patient recovered well and was discharged.