An Uncommon Cause of Hepatic Hematoma

AbstractThe endoscopic retrograde cholangiopancreatography (ERCP) is known for its varied diagnostic and therapeutic utility for a variety of disorders. However it has greater likelihood of procedure related complications among the endoscopic procedures of gastrointestinal tract. The extraluminal hemorrhagic complications following ERCP are potentially life threatening though relatively rare. We present a 50 year patient with choledocholithiasis and cholelithiasis developing rare complication of subcapsular hepatic hematoma, following ERCP due to guide wire injury.

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Ruptured subcapsular hepatic hematoma complicating severe preeclampsia with haemolysis, elevated liver enzymes, low platelet count syndrome: a case report

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20204844 ◽

2020 ◽

Vol 9 (11) ◽

pp. 4726

Author(s):

Ashok R. Anand ◽

Binita H. Shah ◽

Pratibha Vashisth

Keyword(s):

Hellp Syndrome ◽

Liver Enzymes ◽

Rare Complication ◽

Treatment Options ◽

Severe Preeclampsia ◽

Medical Support ◽

Artery Ligation ◽

Hepatic Hematoma ◽

Elevated Liver Enzymes ◽

Low Platelet Count

Subcapsular liver hematoma is rare complication of severe preeclampsia and HELLP syndrome, thus making it essential for these patients to be followed up in critical and intensive care units for advanced medical support with fluid and electrolyte management and replacement of blood products while treating underlying disorders. Treatment options have to be individualised and vary from conservative management to surgical treatment including hepatic resection, hepatic artery ligation, and liver transplantation. In this paper we report a case of ruptured hepatic hematoma in a 35 year old female, few hours within delivery, a complication of severe preeclampsia and HELLP syndrome

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Melena after endoscopic retrograde cholangiopancreatography: A warning sign of an impending subcapsular hepatic hematoma

Medicina Clínica (English Edition) ◽

10.1016/j.medcle.2019.04.045 ◽

2020 ◽

Vol 154 (11) ◽

pp. 467

Author(s):

José Obeth Montoya Rojo ◽

Marcos Antonio Amezcua Gutiérrez ◽

Jorge Alberto Castañón-González

Keyword(s):

Endoscopic Retrograde Cholangiopancreatography ◽

Warning Sign ◽

Endoscopic Retrograde ◽

Hepatic Hematoma

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Postpartum Spontaneous Subcapsular Hepatic Hematoma Related to Preeclampsia

Case Reports in Emergency Medicine ◽

10.1155/2014/417406 ◽

2014 ◽

Vol 2014 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Dimitrios Anyfantakis ◽

Miltiades Kastanakis ◽

Georgios Fragiadakis ◽

Paraskevi Karona ◽

Nikolaos Katsougris ◽

...

Keyword(s):

Epigastric Pain ◽

Emergency Caesarean Section ◽

Maternity Ward ◽

Hepatic Hematoma ◽

Pregnancy And Postpartum ◽

Life Threatening ◽

Clinical Phenomenon ◽

Diagnostic Work ◽

Work Up ◽

Severe Epigastric Pain

Subcapsular hematoma of the liver represents an unusual clinical phenomenon in the pregnancy and postpartum period with serious complications in terms of fetal and maternal mortality. Here we report a case of a 32-year-old primiparous female at 36 weeks of gestation, admitted to a maternity ward of a private clinic for preeclampsia. The woman underwent an emergency caesarean section with the extraction of an alive foetus. A few hours after delivery, she was transferred to the emergency department of our institution complaining of severe epigastric pain. Diagnostic work-up was suggestive of a subcapsular right lob hepatic hematoma which was successfully managed conservatively. Timely diagnosis is necessary for the prevention of life-threatening events in mother and fetus. For this reason acute care physicians have to be vigilant of the condition and consider this in the differential diagnosis of epigastric pain during pregnancy and postpartum.

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