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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Main Authors: Roisin Burrows-O’Donoghue, Rowena Donnison, Emmanuel D’Almeida
Format: Article
Language:English
Published: European Medical Journal 2023-11-01
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.
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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/
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AT rowenadonnison spontaneoussubcapsularhepatichaematomaararecasereport
AT emmanueldalmeida spontaneoussubcapsularhepatichaematomaararecasereport