Delayed intrahepatic subcapsular hematoma after laparoscopic cholecystectomy

Steve M. M. de Castro, Jim A. Reekers, Boudewijn J. Dwars

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5 Citations (Scopus)

Abstract

Intrahepatic subcapsular hematoma after laparoscopic cholecystectomy is a rare complication and is potentially life threatening. When radiologic studies confirm the presence of the hematoma, the decision to follow a conservative treatment should involve clinical monitoring. If there are signs of infection, the collection can safely be drained percutaneously. If there are signs of active bleeding, a selective embolization should be attempted first. If unsuccessful, subsequent surgical evacuation should be performed. We report the case of a patient with an intrahepatic subcapsular hematoma after laparoscopic cholecystectomy, which occurred 6 weeks after surgery, and review the literature concerning the management of these bleedings. Crown Copyright (C) 2012 Published by Elsevier Inc. All rights reserved
Original languageEnglish
Pages (from-to)629-631
JournalClinical imaging
Volume36
Issue number5
DOIs
Publication statusPublished - 2012

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