Subcapsular hematoma resulting in hepatic ischemia as a complication of necrotizing pancreatitis
This report presents a case of necrotizing pancreatitis resulting in a large hepatic subcapsular hematoma that led to development of hepatic ischemia and early stages of liver failure. Following surgical decompression, liver function dramatically improved, but large areas of peripheral hepatic infar...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-04-01
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| Series: | Radiology Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043319304029 |
| _version_ | 1818519275368873984 |
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| author | David P. Duncan, MD Amanda K. Briese, BS Stephen Niemiec, MD Rebekah White, MD Andrew C. Picel, MD Michael E. Hahn, MD, PhD |
| author_facet | David P. Duncan, MD Amanda K. Briese, BS Stephen Niemiec, MD Rebekah White, MD Andrew C. Picel, MD Michael E. Hahn, MD, PhD |
| author_sort | David P. Duncan, MD |
| collection | DOAJ |
| description | This report presents a case of necrotizing pancreatitis resulting in a large hepatic subcapsular hematoma that led to development of hepatic ischemia and early stages of liver failure. Following surgical decompression, liver function dramatically improved, but large areas of peripheral hepatic infarction had developed. This case demonstrates the risks of a rapidly expanding hepatic subcapsular hematoma, emphasizes the importance of recognizing and aggressively treating active bleeding, and cautions against administering anticoagulation and tissue-plasminogen activator in this clinical scenario. Keywords: Hepatic hematoma, Hepatic infarct, Necrotizing pancreatitis |
| first_indexed | 2024-12-11T01:21:55Z |
| format | Article |
| id | doaj.art-a5676a1e2a424123a410af08a0787c0d |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-11T01:21:55Z |
| publishDate | 2020-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-a5676a1e2a424123a410af08a0787c0d2022-12-22T01:25:41ZengElsevierRadiology Case Reports1930-04332020-04-01154316320Subcapsular hematoma resulting in hepatic ischemia as a complication of necrotizing pancreatitisDavid P. Duncan, MD0Amanda K. Briese, BS1Stephen Niemiec, MD2Rebekah White, MD3Andrew C. Picel, MD4Michael E. Hahn, MD, PhD5Department of Radiology, University of California, 200 West Arbor Drive, La Jolla, San Diego, CA 92103, USALake Erie College of Osteopathic Medicine, Bradenton, FL, USADepartment of Surgery, University of California, San Diego, La Jolla, CA, USADepartment of Surgery, University of California, San Diego, La Jolla, CA, USADepartment of Radiology, University of California, 200 West Arbor Drive, La Jolla, San Diego, CA 92103, USA; Department of Radiology, Stanford University, Palo Alto, CA, USADepartment of Radiology, University of California, 200 West Arbor Drive, La Jolla, San Diego, CA 92103, USA; Corresponding author.This report presents a case of necrotizing pancreatitis resulting in a large hepatic subcapsular hematoma that led to development of hepatic ischemia and early stages of liver failure. Following surgical decompression, liver function dramatically improved, but large areas of peripheral hepatic infarction had developed. This case demonstrates the risks of a rapidly expanding hepatic subcapsular hematoma, emphasizes the importance of recognizing and aggressively treating active bleeding, and cautions against administering anticoagulation and tissue-plasminogen activator in this clinical scenario. Keywords: Hepatic hematoma, Hepatic infarct, Necrotizing pancreatitishttp://www.sciencedirect.com/science/article/pii/S1930043319304029 |
| spellingShingle | David P. Duncan, MD Amanda K. Briese, BS Stephen Niemiec, MD Rebekah White, MD Andrew C. Picel, MD Michael E. Hahn, MD, PhD Subcapsular hematoma resulting in hepatic ischemia as a complication of necrotizing pancreatitis Radiology Case Reports |
| title | Subcapsular hematoma resulting in hepatic ischemia as a complication of necrotizing pancreatitis |
| title_full | Subcapsular hematoma resulting in hepatic ischemia as a complication of necrotizing pancreatitis |
| title_fullStr | Subcapsular hematoma resulting in hepatic ischemia as a complication of necrotizing pancreatitis |
| title_full_unstemmed | Subcapsular hematoma resulting in hepatic ischemia as a complication of necrotizing pancreatitis |
| title_short | Subcapsular hematoma resulting in hepatic ischemia as a complication of necrotizing pancreatitis |
| title_sort | subcapsular hematoma resulting in hepatic ischemia as a complication of necrotizing pancreatitis |
| url | http://www.sciencedirect.com/science/article/pii/S1930043319304029 |
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