Spontaneous Subcapsular Hepatic Haematoma: A Rare Case Report
A spontaneous subscapular hepatic haematoma is a rare condition that has not widely been reported in literature. Subscapular hepatic haematoma has a high mortality rate, especially if the haematoma ruptures, so early diagnosis is imperative. In this case report, the authors present an unusual case...
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Format: | Article |
Language: | English |
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European Medical Journal
2023-11-01
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Series: | European Medical Journal |
Online Access: | https://www.emjreviews.com/flagship-journal/article/spontaneous-subcapsular-hepatic-haematoma-a-rare-case-report/ |
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author | Roisin Burrows-O’Donoghue Rowena Donnison Emmanuel D’Almeida |
author_facet | Roisin Burrows-O’Donoghue Rowena Donnison Emmanuel D’Almeida |
author_sort | Roisin Burrows-O’Donoghue |
collection | DOAJ |
description |
A spontaneous subscapular hepatic haematoma is a rare condition that has not widely been reported in literature. Subscapular hepatic haematoma has a high mortality rate, especially if the haematoma ruptures, so early diagnosis is imperative. In this case report, the authors present an unusual case of subscapular hepatic haematoma of a female in her 70s, who, in her first few days of admission for the management of acute calculus cholecystitis, developed acute onset right upper quadrant and epigastric pain radiating to her back. Her haemoglobin dropped from 112 g/L to 54 g/L, and her liver function tests and coagulation studies became deranged. Abdominal and pelvic CT and angiography showed a subscapular liver haematoma without active bleeding. The patient received a blood transfusion and was managed conservatively, with no obvious cause being identified. |
first_indexed | 2024-03-08T13:23:34Z |
format | Article |
id | doaj.art-6fc16a2019704fddb2f7e5aa9127a359 |
institution | Directory Open Access Journal |
issn | 2397-6764 |
language | English |
last_indexed | 2025-03-20T01:06:25Z |
publishDate | 2023-11-01 |
publisher | European Medical Journal |
record_format | Article |
series | European Medical Journal |
spelling | doaj.art-6fc16a2019704fddb2f7e5aa9127a3592024-10-07T07:46:59ZengEuropean Medical JournalEuropean Medical Journal2397-67642023-11-0110.33590/emj/10300184Spontaneous Subcapsular Hepatic Haematoma: A Rare Case ReportRoisin Burrows-O’Donoghue0Rowena Donnison1Emmanuel D’Almeida2Lake Macquarie Private Hospital, Gateshead, AustraliaLake Macquarie Private Hospital, Gateshead, AustraliaLake Macquarie Private Hospital, Gateshead, Australia; John Hunter Hospital, Newcastle, Australia A spontaneous subscapular hepatic haematoma is a rare condition that has not widely been reported in literature. Subscapular hepatic haematoma has a high mortality rate, especially if the haematoma ruptures, so early diagnosis is imperative. In this case report, the authors present an unusual case of subscapular hepatic haematoma of a female in her 70s, who, in her first few days of admission for the management of acute calculus cholecystitis, developed acute onset right upper quadrant and epigastric pain radiating to her back. Her haemoglobin dropped from 112 g/L to 54 g/L, and her liver function tests and coagulation studies became deranged. Abdominal and pelvic CT and angiography showed a subscapular liver haematoma without active bleeding. The patient received a blood transfusion and was managed conservatively, with no obvious cause being identified.https://www.emjreviews.com/flagship-journal/article/spontaneous-subcapsular-hepatic-haematoma-a-rare-case-report/ |
spellingShingle | Roisin Burrows-O’Donoghue Rowena Donnison Emmanuel D’Almeida Spontaneous Subcapsular Hepatic Haematoma: A Rare Case Report European Medical Journal |
title | Spontaneous Subcapsular Hepatic Haematoma: A Rare Case Report |
title_full | Spontaneous Subcapsular Hepatic Haematoma: A Rare Case Report |
title_fullStr | Spontaneous Subcapsular Hepatic Haematoma: A Rare Case Report |
title_full_unstemmed | Spontaneous Subcapsular Hepatic Haematoma: A Rare Case Report |
title_short | Spontaneous Subcapsular Hepatic Haematoma: A Rare Case Report |
title_sort | spontaneous subcapsular hepatic haematoma a rare case report |
url | https://www.emjreviews.com/flagship-journal/article/spontaneous-subcapsular-hepatic-haematoma-a-rare-case-report/ |
work_keys_str_mv | AT roisinburrowsodonoghue spontaneoussubcapsularhepatichaematomaararecasereport AT rowenadonnison spontaneoussubcapsularhepatichaematomaararecasereport AT emmanueldalmeida spontaneoussubcapsularhepatichaematomaararecasereport |