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Subcapsular Liver Hematoma

Hepatic Subcapsular 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]
  • To discuss the presentation, evaluation, and management options of hepatic subcapsular hematoma.[ncbi.nlm.nih.gov]
  • This case report describes a 27-week, 1040-g infant, whose mother presented with an acute abruption and fetal distress prompting emergency cesarean birth.[ncbi.nlm.nih.gov]
  • HELLP (hemolysis, elevated liver enzymes and low platelets) syndrome is an obstetric complication with heterogeneous presentation, multisystem involvement and variable prognosis, but which usually resolves after delivery.[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]
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]
  • Different symptoms are described in literature abdominal pain (91%), hypotension (39.1%), anemia (39.1%), fever (21.7%) and peritonism (13%) [8] .[ijhpd.com]
  • The most common manifestation was abdominal pain in 87%; in some case reports fever was mentioned to be one of the primary manifestations, but we found that right omalgia and clinical manifestations of hypovolemic shock (tachycardia or hypotension) were[elsevier.es]
Poor Feeding
  • The symptomatology of a hematoma in a neonate includes poor feeding, listlessness, pallor, jaundice, tachypnea and tachycardia; these findings could be indicative of a hemoperitoneum .[omicsonline.org]
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]
  • In a patient with undifferentiated right upper quadrant abdominal pain, bedside ultrasonography is a rapid and effective modality in the diagnosis of liver masses, including subcapsular hematoma.[ncbi.nlm.nih.gov]
  • Abdominal pain associated with hypotension and tachycardia after ERCP should raise the suspicion of intrahepatic bleeding with capsule distension.[ijhpd.com]
  • 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]
Hepatomegaly
  • It conclude with diagnosis of : -Hepatomegaly -H epatic subcapsular hematoma -B ilateral pleural effusion -Ascitis and -I ntraprosthesic aortic thrombus[diariodeunmedicoii.blogspot.com]
  • 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]
  • 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]
  • 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]
  • 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]
Hepatic Mass

Workup

  • Diagnostic workup showed recurrence of a subcapsular hematoma in the segment 6 area. Follow-up evaluation revealed resorption of the previous subcapsular hematomas, as well as a new lesion in the segment 1 area.[ekjm.org]
  • 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]
  • For this reason, we have adopted the following approach in the workup of minor trauma: baseline US for stable patients with normal urinalysis, followed by contrast-enhanced US after obtaining consent to the use of the contrast agent, only in the event[slideheaven.com]
Paragonimus Westermani
  • Enzyme-linked immunosorbent assay 기반 기생충 항체 검사에서 간흡충( Clonorchis sinensis ) 항체에 대해 0.055로 음성이었으며(양성 cutoff: 0.234), 폐흡충( Paragonimus westermani )에 대해서는 0.278로 양성 소견이었다(양성 cutoff: 0.232). 개회충( Toxocara canis ) 항체 검사는 음성이었다. 대변 검사에서 기생충은 확인되지 않았다.[ekjm.org]
Toxocara Canis
  • 개회충( Toxocara canis ) 항체 검사는 음성이었다. 대변 검사에서 기생충은 확인되지 않았다.[ekjm.org]

Treatment

  • The most common indications for ERCP include treatment of bile leaks and anastomotic and nonanastomotic biliary strictures.[ncbi.nlm.nih.gov]
  • Recombinant factor VIIa is an effective adjunct in the treatment of preeclamptic patients with expanding or ruptured subcapsular liver hematoma.[ncbi.nlm.nih.gov]
  • Conservative treatment was successful in three patients. Emergency surgical intervention was necessary in two patients, including one liver transplantation.[ncbi.nlm.nih.gov]
  • 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]
  • Comprehensive discussions of clinical disorders review the surgical treatment options.[books.google.com]

Prognosis

  • HELLP (hemolysis, elevated liver enzymes and low platelets) syndrome is an obstetric complication with heterogeneous presentation, multisystem involvement and variable prognosis, but which usually resolves after delivery.[ncbi.nlm.nih.gov]
  • The prognosis is usually marked by the death of the patient, as in our case.[ncbi.nlm.nih.gov]
  • Abstract Subcapsular liver hematoma is a rare condition in newborns whose prognosis is poor if breaks. In most cases has been diagnosed after death at autopsy of the fetuses and newborns.[actapediatrica.com]
  • J Dig Endosc 2 Systematic review: Features, diagnosis, management and prognosis of hepatic hematoma, a rare complication of ERCP Nicola Imperatore,Giancarlo Micheletto,Gianpiero Manes,Davide Giuseppe Redaelli,Elisa Reitano,Germana de Nucci Digestive and[jdeonline.in]
  • […] 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 haemangioma Treatment and prognosis[radiopaedia.org]

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]
  • In summary, we present a case of a newborn with an SHL, which was idiopathic in etiology.[omicsonline.org]
  • The etiology of the hematoma is not entirely clear. Most of the authors claimed that it is caused by rupture of small caliber vessels due to the guidewire trauma [5] [6] [7] .[ijhpd.com]
  • Shapiro Spontaneous hepatic rupture with intraperitoneal hemorrhage without underlying etiology: a report of two cases 10. D. Cernea,A. Dragoescu,M.[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]
Sex distribution
Age distribution

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]
  • He led an NIH RCT (10,000 women) of antioxidant vitamins to prevent preeclampsia.[books.google.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]
  • 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]
  • X-ray control of the position of the guide-wire may prevent this rare complication of interventional ERCP.[thieme-connect.com]

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