Huge Hepatic Spontaneous Sub-Capsular Hematoma: A Case Report
Novelty in Biomedicine,
Vol. 12 No. 1 (2024),
30 January 2024
,
Page 43- 45
https://doi.org/10.22037/nbm.v12i1.42612
Abstract
Background: Hepatic spontaneous sub-capsular hematoma is uncommon. This is a life-threatening condition because the rupture of this hematoma is accompanied by uncontrolled intra-abdominal hemorrhage.
Cases Report: We presented a 71-year-old man with a huge hepatic sub-capsular hematoma without any history of trauma or coagulopathy. The patient received heparin due to a neglected myocardial infarction. Blood pressure and hemoglobin levels decreased. The drug was discontinued, an abdominal computed tomography (CT) scan was done for him, and a huge hepatic sub-capsular hematoma was detected.
Conclusion: Spontaneous liver subcapsular hematoma may be found in patients with a history of surgery on the liver site and those with a history of COVID-19. In these patients, hemodynamic instability should increase the doubt of physicians about a rupture of hepatic hematoma.
- Spontaneous
- Subcapsular hematoma
- liver
- COVID-19
How to Cite
References
Al Tamimi A, Alawad AA. Large spontaneous subcapsular hematoma of the liver: a rare case report. Pan African Medical Journal. 2019;32(1).
Tyagi V, Shamas AG, Cameron AD. Spontaneous subcapsular hematoma of liver in pregnancy of unknown etiology–Conservative management: A case report. The Journal of Maternal-Fetal & Neonatal Medicine. 2010;23(1):107-10.
Casillas VJ, Amendola MA, Gascue A, Pinnar N, Levi JU, Perez JM. Imaging of nontraumatic hemorrhagic hepatic lesions. Radiographics. 2000;20(2):367-78.
Del Pozo D, Moral I, Poves E, Sanz C, Martín M. Subcapsular hepatic hematoma following ERCP: case report and review. Endoscopy. 2011;43(S 02): E164-E5.
Yoon GH, Dunn MD. Case report: subcapsular hepatic hematoma: retraction injury during laparoscopic adrenalectomy. Journal of endourology. 2006;20(2):127-9.
Mangla A, Hamad H, Yadav U, Telfer M. Alcohol abuse and alcoholic liver cirrhosis leading to spontaneous muscle hematoma: an event fraught with danger. Case reports in gastroenterology. 2015;9(1):93-100.
Darwish OS, Iqbal E. Dual Antiplatelet Agent—Induced Spontaneous Liver Hematoma. Annals of Pharmacotherapy. 2012;46(11):e33-e.
Cutting CW, Khan MS, Mamode N, Koffman G, Heaton N. A case report of a spontaneous subcapsular hematoma leading to rupture of the liver in a patient following a renal transplant. Transplantation. 2004;78(7):1090-1.
Rosen SA, Merchant SH, VanderJagt TJ, Crookston KP. Spontaneous subcapsular liver hematoma associated with pregnancy. Archives of pathology & laboratory medicine. 2003;127(12):1639-40.
Badea R, Chiorean L, Mitre C, Botar-Jid C, Caraiani C. Spontaneous retroperitoneal and subcapsular liver hematoma. The diagnostic contribution of CT, US and CEUS. Case report. Medical ultrasonography. 2013;15(2):157-60.
Tidjane A, Laredj A, Boudjenan-Serradj N, Bensafir S, Tabeti B. A giant spontaneous subcapsular hematoma of the liver revealing a COVID-19 infection, a coincidence? (a case report). The Pan African Medical Journal. 2021;38.
Fusco MA, Scott TE, Paluzzi MW. Traction injury to the liver during laparoscopic cholecystectomy. Surgical Laparoscopy & Endoscopy. 1994;4(6):454-6.
Noh MSFM. COVID-19 and cerebral hemorrhage: proposed mechanisms. Journal of Neuroradiology. 2021;48(2):125.
- Abstract Viewed: 171 times
- PDF Downloaded: 98 times