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]
We will discuss a case of a hepatic subcapsular hematoma that presented several hours after a diagnostic colonoscopy. [deepdyve.com]
The clinical presentation of subcapsular hematoma is not characteristic; most patients present with right upper quadrant pain [ 1 ]. [panafrican-med-journal.com]
In summary, we present a case of a newborn with an SHL, which was idiopathic in etiology. [omicsonline.org]
Entire Body System
- HELLP Syndrome
The literature on liver hematomas in pregnancy published since 1982 when the term HELLP syndrome was coined is reviewed with a focus on the association of liver hematomas with preeclampsia and the HELLP syndrome. [ncbi.nlm.nih.gov]
Keywords : HELLP Syndrome, Hematoma, Ligation, Liver Diseases, Pre-Eclampsia. [casereports.in]
[…] of HELLP Syndrome Complicated by Liver Hematoma", abstract = "Subcapsular liver hematoma is a rare but potentially life-threatening complication of preeclampsia and hemolysis, elevated liver enzymes, and low platelets syndrome. [uthealth.influuent.utsystem.edu]
There were no differences in laboratory findings between HELLP syndrome before and after delivery; however, women with postpartum HELLP syndrome had significantly higher incidences of pulmonary edema and renal failure. [scienceopen.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]
Discussion We describe a case of diagnosed subcapsular liver hematoma (SLH) detected in a full- term neonate born after an uncomplicated pregnancy and delivery, without a history of fever or coagulopathy. [omicsonline.org]
Malaise, fever, weight loss, arthralgias, myalgias, and rashes are common but rarely dominate the clinical picture. [nzma.org.nz]
We report the case of a 45-year-old man without pathological history, admitted to emergency for pain in right hypochondria and fever, sub capsular hematoma of the liver was diagnosed by ultrasound and abdominal scan, after a biological and histological [link.springer.com]
- Asymptomatic
Asymptomatic intrahepatic hematomas may occur following a liver biopsy and hence ultrasonic surveillance in high risk patients is advocated. [sonoworld.com]
The chronic stage is usually asymptomatic or mildly symptomatic, but mechanical obstruction of the biliary tract by the adult parasite may ensue, resulting in cholangitis and potentially more serious complications, including liver abscesses. [academic.oup.com]
She is asymptomatic during follow-up visits till a period of 6 months, her serial sonographic scans show gradual decrease in the size of the hematoma. [panafrican-med-journal.com]
Three weeks later the patient was discharged when he was asymptomatic and the size of hematoma had decreased. [nzma.org.nz]
In many reports, these lesions have been asymptomatic and have shown no change in size; however, changes have occasionally been noted. We therefore examined changes in the size of hepatic hemangiomas during long-term observation. [ci.nii.ac.jp]
- Anemia
The systemic, non-specific symptoms such as anemia, pallor, tachycardia may be followed by sudden circulatory collapse and subsequent rupture of the hematoma or hemoperitoneum, hemoretroperitoneum. [omicsonline.org]
Blood tests usually reveal features of HELLP syndrome, including anemia, hemolysis, elevated liver enzymes and low platelet counts [9]. In addition, elevated lactate dehydrogenase (LDH) levels may be noticed prior to hepatic rupture [4]. [ispub.com]
Diseases or conditions that may decrease the number of platelets in the bloodstream (thrombocytopenia) or diminish their function: Viral infections ( rubella, parvovirus, mumps, chickenpox, HIV, and hepatitis C ), aplastic anemia, cancers from other organs [medicinenet.com]
Hepatic hemorrhage may occur as a result of causes other than trauma, including sickle cell anemia, liver tumors, coagulopathies, organ phosphate toxicity, and collagen vascular disease. [emedicine.medscape.com]
- Sepsis
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]
Early goal-directed therapy in the treatment of severe sepsis and septic shock. الصفحة 321 - Katayama H, Yamaguchi K, Kozuka T, Takashima T, Seez P, Matsuura K. [books.google.com]
The differential diagnosis for a patient presenting with abdominal pain and abnormal liver enzymes is wide, including HELLP, disseminated intravascular coagulation (DIC), hemolytic-uremic syndrome (HUS), severe sepsis, acute fatty liver of pregnancy, [ispub.com]
Gastrointestinal
- Abdominal Pain
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]
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]
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]
Liver, Gall & Pancreas
- 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]
There are three major causes of hepatic injury in neonates: • obstetrical causes such as difficult labor, early travail and a breech presentation; • neonatal causes such as hepatomegaly, coagulopathy, resuscitation, prematurity or post-maturity; • maternal [omicsonline.org]
- Liver Mass
Medical Illustrations Liver anatomy Liver imaging Liver lobectomy Journal Club May 2019 Bleeding Liver Masses: Imaging Features With Patho... Apr 2019 Expected and Unexpected Imaging Findings after 90Y... [ctisus.com]
Liver contusion Angiographic findings in patients with liver contusion include the following: Stretching and elongation of arterial branches around an avascular mass may be observed. Delay in hepatic blood flow to the involved segments may occur. [emedicine.medscape.com]
Workup
Biopsy
- Liver Biopsy
Liver biopsy is a common diagnostic procedure performed in cases of suspected liver disease to establish a definitive diagnosis. [sonoworld.com]
Other causes include invasive procedures such as liver biopsies and hepatic hematomas can occur, but rarely, in people with lesions and bleeding disorders. [study.com]
A 62-year-old woman with a history of recent liver biopsy. [emedicine.medscape.com]
Treatment
[…] acute hepatic insufficiency and ather alternative treatment as packing or laparoscopic approach reduced morbility and mortality with improvement of survival in most of liver trauma patients. [research.unipd.it]
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]
What is the medical treatment for a hematoma? For certain small and symptom -free hematomas no medical treatment may be necessary. [rxlist.com]
Prognosis
What Is the Prognosis for Hematoma? Blood vessels are routinely injured and may leak blood causing hematomas or blood clots. Depending upon their size and location, hematomas may be insignificant or may cause life-threatening damage. [emedicinehealth.com]
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]
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]
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]
In summary, we present a case of a newborn with an SHL, which was idiopathic in etiology. [omicsonline.org]
[…] a 45-year-old man without pathological history, admitted to emergency for pain in right hypochondria and fever, sub capsular hematoma of the liver was diagnosed by ultrasound and abdominal scan, after a biological and histological study of liver, no etiology [link.springer.com]
Epidemiology
Journal Journal ID (nlm-ta): Pan Afr Med J Journal ID (iso-abbrev): Pan Afr Med J Journal ID (publisher-id): PAMJ Title: The Pan African Medical Journal Publisher: The African Field Epidemiology Network ISSN (Electronic): 1937-8688 Publication date (Electronic [scienceopen.com]
Pathophysiology
Although there are predictable findings on liver pathology, the underlying pathophysiology is poorly understood. [ncbi.nlm.nih.gov]
Am J Obstet Gynecol 169:1000–6 CAS PubMed Google Scholar Mushambi MC, Halligan AW, Williamson K (1996) Recent developments in the pathophysiology and management of preeclampsia. [link.springer.com]
Prevention
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]
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]
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]
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]
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]