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Liver Hematoma

Hepatic Hematoma


Presentation

  • Mycotic aneurysm or pseudoaneurysm of visceral vessels may develop from bacteremia and its dissection or rupture should be suspected in patients presenting with sepsis and abdominal pain.[ncbi.nlm.nih.gov]
  • In physical examination epigastric tenderness was present. Patient went under ERCP procedure due to choledocholithiasis. 1.5 cm of filling defect was seen in hilar region in ERCP.[scopemed.org]
  • The authors present a case of a symptomatic liver hematoma requiring hospital readmission for diagnosis and pain control and a review of retraction injuries.[ncbi.nlm.nih.gov]
  • A case of spontaneous subcapsular hematoma of the liver occurring in the third trimester is presented in which the patient probably had neither preeclampsia nor the HELLP syndrome.[ncbi.nlm.nih.gov]
  • We will discuss a case of a hepatic subcapsular hematoma that presented several hours after a diagnostic colonoscopy.[deepdyve.com]
Fever
  • General Discussion: FULL PATIENT HISTORY: 22-year-old woman with fever, shortness of breath, abdominal pain and abnormal liver function tests 2 weeks after laparoscopic cholecystectomy.[gamma.wustl.edu]
  • Patient was admitted presenting fever and abdominal pain postoperative month 1. USG and CT revealed that an approximately 10x3 cm heterogenic collection adjacent to the left lobe of the liver was reaching out to epigastrium.[scopemed.org]
Amyloidosis
  • Spontaneous rupture of the liver associated with amyloidosis. Journal of Clinical Gastroenterology. 1989; 11(1):85-87. PubMed Google Scholar Cheung YS, Wong S, Lam PKN, Lee KF, Wong J, Lai PBS.[panafrican-med-journal.com]
Abdominal Pain
  • Mycotic aneurysm or pseudoaneurysm of visceral vessels may develop from bacteremia and its dissection or rupture should be suspected in patients presenting with sepsis and abdominal pain.[ncbi.nlm.nih.gov]
  • A sixty-nine-year-old female patient was admitted to the clinic with abdominal pain and jaundice. In physical examination epigastric tenderness was present.[scopemed.org]
  • General Discussion: FULL PATIENT HISTORY: 22-year-old woman with fever, shortness of breath, abdominal pain and abnormal liver function tests 2 weeks after laparoscopic cholecystectomy.[gamma.wustl.edu]
  • Patients typically present with right upper quadrant abdominal pain, which may include signs and symptoms of shock if the bleeding is severe. Thus, it is important to recognize this diagnosis in the Emergency Department (ED).[deepdyve.com]
  • . #8 Question: what happens, when the patient has no prior symptoms, and suddenly one day feels excruciating abdominal pain? blood test shows everything is normal. ultrasound saw a small hemagioma.[forums.studentdoctor.net]
Epigastric Tenderness
  • In physical examination epigastric tenderness was present. Patient went under ERCP procedure due to choledocholithiasis. 1.5 cm of filling defect was seen in hilar region in ERCP.[scopemed.org]
Rectal Bleeding
  • She also complained of one episode of non-bilious, non-bloody emesis and watery diarrhea with scant rectal bleeding after the procedure.[deepdyve.com]
Hepatomegaly
  • On examination, she was found to have mild pallor, and a tender hepatomegaly. There was no icterus and the patient was hemodynamically stable, her blood pressure was also normal.[panafrican-med-journal.com]

Workup

Pericardial Effusion
  • Sudden onset breathlessness on day 6 secondary to pleural and pericardial effusion was managed conservatively [Fig.3]. Over the time, drain output reduced and drain was removed by 20 and 25 day respectively.[casereports.in]
Base Deficit
  • Umbilical cord blood gas analysis showed an arterial pH of 7.147 with a base deficit of 5.8 mmol/L and a venous pH of 7.194 with a base deficit of 6.4 mmol/L.[scielo.mec.pt]

Treatment

  • There is no consensus regarding treatment, options vary from conservative management to surgical treatment including hepatic resection, hepatic artery ligation, and liver transplantation.[casereports.in]
  • Prognosis can be adversely affected by delayed or less than optimal diagnosis and treatment. REFERENCES 1. Araujo ACFP, Leão MD, Nobrega MH. Characteristics and treatment of hepatic rupture caused by HELLP syndrome.[scielo.mec.pt]
  • Less aggressive treatment is preferable to aggressive intervention such as a hepatic resection in such patients with coagulopathy.[ncbi.nlm.nih.gov]
  • Conservative treatment should be considered in the foreground, however, surgery should be scheduled in case of acute abdomen and/or hemodynamic instability. Key words: ERCP;hematoma;liver[scopemed.org]

Prognosis

  • Though looking alarming, awareness of this entity and visualization with computed tomography can help to explain the prognosis to the patients Competing interests The authors declare no competing interests.[panafrican-med-journal.com]
  • Prognosis can be adversely affected by delayed or less than optimal diagnosis and treatment. REFERENCES 1. Araujo ACFP, Leão MD, Nobrega MH. Characteristics and treatment of hepatic rupture caused by HELLP syndrome.[scielo.mec.pt]
  • Spontaneous extra-gastrointestinal hematomas are possible in patients with cirrhosis of liver and are often associated with dismal prognosis. Disclosures Author contributions: GS Zacharia drafted the manuscript and is the article guarantor. S.[acgcasereports.gi.org]
  • The location of a hematoma plays a role in its prognosis. From Reviewed by: Tova Alladice, M.D. American Board of Physical Medicine & Rehabilitation[rxlist.com]

Etiology

  • We describe the pertinent radiologic features of the subcapsular hematomas in these patients, and discuss possible etiologies for the bleeding in each patient.[uthsc.pure.elsevier.com]
  • The etiology of a liver hematoma may be blunt abdominal trauma or rupture of a neoplasm such as a hepaticadenoma or cavernous hemangioma.[aibolita.com]
  • Jammal, Mansour; Valesky, Walter; Das, Devjani; Brown, Cara; Kapoor, Monica 2013-10-01 00:00:00 Introduction The presentation of a hepatic subcapsular hematoma has a multitude of etiologies, ranging from traumatic, obstetric, vascular, neoplastic, and[deepdyve.com]

Pathophysiology

  • Although there are predictable findings on liver pathology, the underlying pathophysiology is poorly understood.[ncbi.nlm.nih.gov]

Prevention

  • الصفحة 348 - Hospital-acquired pneumonia in adults: diagnosis, assessment of severity, initial antimicrobial therapy, and preventive strategies. ‏ الصفحة 361 - Pepe PE, et al.[books.google.com]
  • Can a hematoma be prevented? Prevention of all hematomas is not entirely possible. However, prevention of hematomas in certain contexts deserves special attention.[rxlist.com]
  • In conclusion, the hemorrhagic rupture of a liver cyst is a life-threatening complication and a prompt surgery is necessary to prevent the hypovolemic shock. KEY WORDS: Extraperitoneal rupture, Hemorrhagic rupture, Simple hepatic cyst.[ncbi.nlm.nih.gov]
  • How can I help prevent a bruised liver? Because bruises of the liver tend to happen in accidents, there is no easy way to prevent them.[summitmedicalgroup.com]
  • Is chronic lung disease in low birth weight infants preventable? A survey of eight centers. ‎ Página 84 - Tanner JM, Whitehouse RH, Marubini E, Resele LF. The adolescent growth spurt of boys and girls of the Harpenden growth study. ‎[books.google.es]

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