Delayed intrahepatic subcapsular hematoma after laparoscopic cholecystectomy

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• 作者：Steve M.M. de Castro ; Jim A. Reekers ; Boudewijn J. Dwars
• 关键词：Cholecystectomy ; Hematoma ; Laparoscopy
• 刊名：Clinical Imaging
• 出版年：2012
• 出版时间：September-October, 2012
• 年：2012
• 卷：36
• 期：5
• 页码：629-631
• 全文大小：556 K

文摘

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.