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 patient presented with an acute rupture of Glisson's capsule, which was successfully managed with surgical treatment. A review of the literature is presented, which consists of 30 cases. [elsevier.es]
Entire Body System
- 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]
Different symptoms are described in literature abdominal pain (91%), hypotension (39.1%), anemia (39.1%), fever (21.7%) and peritonism (13%) [8]. [ijhpd.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]
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
- Vaginal Bleeding
The third patient experienced uncontrollable vaginal bleeding, liver hemorrhage, and was in imminent danger of capsule rupture. [ncbi.nlm.nih.gov]
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]
Treatment
Recombinant factor VIIa is an effective adjunct in the treatment of preeclamptic patients with expanding or ruptured subcapsular liver hematoma. [ncbi.nlm.nih.gov]
Comprehensive discussions of clinical disorders review the surgical treatment options. [books.google.com]
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]
Routine pathological examination of the explanted liver failed to reveal the etiology of the rupture. [scinapse.io]
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]
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]
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]
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]