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]
Patients with RSHL present with life-threatening intra-abdominal hemorrhage, leading to hypotension. [njcponline.com]
Entire Body System
- HELLP Syndrome
HELLP syndrome (hemolysis, elevation of liver enzymes, and low platelet count) occurs during pregnancy. Intrahepatic hemorrhage and subcapsular liver hematoma with or without rupture are reported complications of this syndrome. [ncbi.nlm.nih.gov]
Keywords : HELLP Syndrome, Hematoma, Ligation, Liver Diseases, Pre-Eclampsia. [casereports.in]
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]
McArthur and Mills [3] reported a case of 71-year-old man with 4 weeks history of right upper quadrant abdominal pain, fever, jaundice, and itching. He underwent ERCP with sphincterotomy and biliary stenting for choledocholithiasis. [jdeonline.in]
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]
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
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]
He was asymptomatic for next 48 h, when he suddenly complained of right upper quadrant abdominal pain which was not relieved with analgesics. [jdeonline.in]
- Collapse
On day of life (DOL) 7, the infant suddenly deteriorated with cardiovascular collapse and severe coagulopathy. Coexisting spontaneous bowel perforation (SBP) and ruptured subcapsular liver hematoma (SLH) were confirmed operatively. [ncbi.nlm.nih.gov]
In the case presented, the sudden collapse with loss of consciousness and hypovolemic shock did not favor an abdominal ultrasound being performed prior to the initial laparotomy. [njcponline.com]
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]
Prior to the availability of CT scanning and ultrasonography, gallbladder injuries were rarely diagnosed before surgery. [24] CT findings in gallbladder injuries include ill-defined or irregular wall contour, pericholecystic or subserosal fluid, collapsed [emedicine.medscape.com]
- Surgical Procedure
As with all surgical procedures, it carries risk, with the most commonly reported complications including infection, bile leak and bleeding. One unusual complication is subcapsular liver haematoma, the diagnosis presented here. [casereports.bmj.com]
Other causes include interventions such as renal biopsy, surgical procedures and extra corporeal shock lithotripsy. With subcapsular hematoma, the patient’s symptoms will vary depending on the degree and duration of the bleed. [sonoworld.com]
Despite surgery, hemorrhagic shock remains the cause of death in over one third of the patients.Definitivereported surgical procedures include ligation, lobectomy or hepatectomy or liver transplantation in selected cases [7]. [ispub.com]
Our data support that the use of ultrasound with H2O2 preoperatively, for a safe surgery planning, leads to an accurate surgical procedure and fewer recurrence rates. [breeslin.gq]
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]
Subcapsular hepatic hematoma is an extremely rare complication of ERCP, but the occurrence of abdominal pain after ERCP should raise the suspicion of this complication. [ci.nii.ac.jp]
Different symptoms are described in literature abdominal pain (91%), hypotension (39.1%), anemia (39.1%), fever (21.7%) and peritonism (13%) [8]. [ijhpd.com]
- Right Upper Quadrant Tenderness
He also had icterus with right upper quadrant tenderness. Laboratory data showed leukocytosis with total count around 14,000/mm 3. [jdeonline.in]
Liver, Gall & Pancreas
- Hepatomegaly
Congenital malformation of liver NOS nodular, focal K76.89 Hypertrophy, hypertrophic liver R16.0 ICD-10-CM Diagnosis Code R16.0 Hepatomegaly, not elsewhere classified 2016 2017 2018 2019 Billable/Specific Code Applicable To Hepatomegaly NOS acute K76.89 [icd10data.com]
ALP isoenzyme test (Medical Encyclopedia) Ascites (Medical Encyclopedia) Diet - liver disease (Medical Encyclopedia) Hepatic encephalopathy (Medical Encyclopedia) Hepatomegaly (Medical Encyclopedia) Liver disease (Medical Encyclopedia) Liver scan (Medical [icdlist.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]
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]
On physical examination, the patient had hepatomegaly and was tender to right upper quadrant palpation. The physical exam was otherwise within normal limits. [uscapknowledgehub.org]
- Liver Mass
Emergency physician-performed bedside ultrasound revealed a large hyperechoic mass in the right lobe of the liver. [ncbi.nlm.nih.gov]
Three weeks later, CT incidentally showed a subcapsular liver mass indicative of abscess. [jstage.jst.go.jp]
[…] of liver Hepatic congestion Hepatocellular dysplasia Hepatocellular jaundice Hepatocellular liver damage Hepatoptosis Histoplasmosis liver Hydrohepatosis Impaired bile formation Lesion of liver Liver cyst Liver hematoma Liver lesion Liver mass Liver [icd9data.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]
Urogenital
- Cesarean Section
We describe successful conservative management of ruptured subcapsular liver hematoma in a woman with preeclampsia who had hemoperitoneum seen at cesarean section. [ncbi.nlm.nih.gov]
Past medical history was significant for 2 cesarean sections, post partum depression, and oral contraceptive use. She did not smoke or drink alcohol. Her last menstrual period was 2 weeks prior to referral. [uscapknowledgehub.org]
Hepatic rupture after cesarean section in a patient with HELLP syndrome: a case report and review of the literature. Archives of Gynecology and Obstetrics. 2007;276(2):189-192. R obb ins S, Cotran RS, Kumar V. [casereports.in]
A cesarean section was performed 68 hours after admission. In the recovery room, the patient was noted to be hypotensive, tachycardic and anuric. Repeat labs (Table 1) revealed new onset thrombocytopenia and worsening liver function. [ispub.com]
Workup
The final genetic workup was available only after discharge and detected a complement factor H haplotype H3 (−332T, c.184G, c.1204T, c.2016G, and c.2808T). [revistanefrologia.com]
Biopsy
- Liver Biopsy
Clinical History: This is a 54-year-old Caucasian male with a past medical history of polymyositis and recent outside hospital admission for biliary tree obstruction with subsequent ERCP, cholecystectomy, and liver biopsy. [clinical-mri.com]
After percutaneous liver biopsy, bleeding occurred and did not stop even after right hepatic artery emboliza... more Subcapsular hematoma of the graft is a serious complication of liver transplantation (LT), and there has been no discussion in the literature [scinapse.io]
Etiology The mechanism for liver trauma can be from blunt (e.g. motor vehicle collision, fall, direct blow, etc.) or penetrating trauma (e.g. gunshot, stabbing). It can also be iatrogenic (e.g. percutaneous liver biopsy ). [radiopaedia.org]
Liver biopsies and bleeding disorders have also resulted in hepatic hematomas. Symptoms Symptoms associated with hepatic hematomas include abdominal discomfort and pain. [study.com]
A 62-year-old woman with a history of recent liver biopsy. [emedicine.medscape.com]
Treatment
Comprehensive discussions of clinical disorders review the surgical treatment options. [books.google.com]
[…] 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]
The most common indications for ERCP include treatment of bile leaks and anastomotic and nonanastomotic biliary strictures. [ncbi.nlm.nih.gov]
Prognosis
Queen Elizabeth Hospital, Bridgetown, Barbados. [email protected] Abstract HELLP (hemolysis, elevated liver enzymes and low platelets) syndrome is an obstetric complication with heterogeneous presentation, multisystem involvement and variable prognosis [ncbi.nlm.nih.gov]
[…] unenhanced aberrant portal or hepatic veins congenital fissures and clefts: typically fat density, and in usualy locations diaphragmatic slips or eventration : identifiable on coronal images pre-existing liver lesions cysts hemangioma Treatment and prognosis [radiopaedia.org]
Multicenter prospective clinical study to evaluate the prediction of short-term outcome in pregnant women with suspected preeclampsia (PROGNOSIS): study protocol. BMC Pregnancy Childbirth. 2014 Sep 18; 14: 324 22. [cobas.roche.it]
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]
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]
Etiologies included traumatic hematoma in 10, tumor-related hematoma in 18, ruptured liver abscess in 20, biloma in 8, and 4 miscellaneous causes. CT typically showed a lenticular-shaped fluid collection compressing the liver parenchyma. [ncbi.nlm.nih.gov]
Routine pathological examination of the explanted liver failed to reveal the etiology of the rupture. [scinapse.io]
Etiology The mechanism for liver trauma can be from blunt (e.g. motor vehicle collision, fall, direct blow, etc.) or penetrating trauma (e.g. gunshot, stabbing). It can also be iatrogenic (e.g. percutaneous liver biopsy ). [radiopaedia.org]
Spontaneous hepatic rupture with intraperitoneal hemorrhage without underlying etiology: a report of two cases. ISRN Surg, 2011 (2011), pp. 610747 [10] D. Cernea, A. Dragoescu, M. Novac. [revistanefrologia.com]
Epidemiology
Roberts, MD is Professor of Obstetrics and Gynecology and Epidemiology and Clinical and Translational Research at the University of Pittsburgh. [books.google.com]
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]
Epidemiology of endometriosis-associated infertility. J Reproductive Med 1982;34:41. [uscapknowledgehub.org]
Pathophysiology
A review of the known and proposed risk factors, clinical signs and symptoms, pathophysiology, and treatment of both SBP and SLH are provided. [ncbi.nlm.nih.gov]
Gastrointestinal Surgery: Pathophysiology and Management is an invaluable reference text for surgeons and surgical trainees. Written entirely by Dr. Haile T. [books.google.com]
The pathophysiologic mechanism underlying the development of the hematoma is not clearly defined, however various authors agree that vascular injury of small-caliber intrahepatic vessels secondary to guidewire use may be the cause, which may also explain [elsevier.es]
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
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]
PEX was suspended to prevent increased hepatic bleeding related with heparin systemic anticoagulation. Ultrasonography follow-up examinations revealed almost unchanged size of hematoma. [revistanefrologia.com]
As the guidewire may be sources of infection we recommend prophylactic broad spectrum antibiotics for these patients to prevent hematoma infection and abscess formation. [ijhpd.com]
He led an NIH RCT (10,000 women) of antioxidant vitamins to prevent preeclampsia. [books.google.com]
X-ray control of the position of the guide-wire may prevent this rare complication of interventional ERCP. [thieme-connect.com]