An Obscure Case of Hepatic Subcapsular Hematoma
Spontaneous liver bleeding is often reported in preeclampsia. It is otherwise rare and has been linked to gross anatomical lesions and coagulopathy. We report a case of subcapsular hematoma of the liver without any apparent lesion and in the absence of coagulopathy. A 41-year-old male, paraplegic fo...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2011-04-01
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| Series: | Case Reports in Gastroenterology |
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| Online Access: | http://www.karger.com/Article/FullText/326998 |
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| author | Albert Ndzengue Fadi Hammoudeh Pierre Brutus Ofem Ajah Roland Purcell Joseph Leadon Richard B. Rafal Simon Balmir Danilo A. Enriquez Gerald L. Posner Eric A. Jaffe Pradeep Chandra |
| author_facet | Albert Ndzengue Fadi Hammoudeh Pierre Brutus Ofem Ajah Roland Purcell Joseph Leadon Richard B. Rafal Simon Balmir Danilo A. Enriquez Gerald L. Posner Eric A. Jaffe Pradeep Chandra |
| author_sort | Albert Ndzengue |
| collection | DOAJ |
| description | Spontaneous liver bleeding is often reported in preeclampsia. It is otherwise rare and has been linked to gross anatomical lesions and coagulopathy. We report a case of subcapsular hematoma of the liver without any apparent lesion and in the absence of coagulopathy. A 41-year-old male, paraplegic for 16 years, presented to the emergency department 3 days after sudden onset of right upper quadrant and shoulder pain. He had been on vitamins and 5,000 units subcutaneous heparin 12-hourly at the nursing home for the last month. He was in no distress, afebrile, with stable vitals. Physical examination showed a diverting colostomy, tender hepatomegaly and sacral decubiti. A fecal occult blood test was negative. There was spastic paraplegia below the level of T12. Two days after admission, the patient was afebrile and hemodynamically stable. PTT, PT, liver profile, BUN and creatinine were all normal, however his hemoglobin had dropped from 11.3 to 7.6 g/dl. An abdominal CT scan revealed an isolated 9.0 × 1.8 cm subcapsular hematoma. The patient received blood transfusion in the intensive care unit and was discharged 7 days later. In conclusion, spontaneous liver hemorrhage occurs in the nonobstetrical population in the setting of gross anatomical lesions or coagulopathy. This is the first report of an isolated subcapsular liver hematoma. |
| first_indexed | 2024-04-14T05:43:15Z |
| format | Article |
| id | doaj.art-aa141691342049e29fc7f3bc20ef541a |
| institution | Directory Open Access Journal |
| issn | 1662-0631 |
| language | English |
| last_indexed | 2024-04-14T05:43:15Z |
| publishDate | 2011-04-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Gastroenterology |
| spelling | doaj.art-aa141691342049e29fc7f3bc20ef541a2022-12-22T02:09:22ZengKarger PublishersCase Reports in Gastroenterology1662-06312011-04-015122322610.1159/000326998326998An Obscure Case of Hepatic Subcapsular HematomaAlbert NdzengueFadi HammoudehPierre BrutusOfem AjahRoland PurcellJoseph LeadonRichard B. RafalSimon BalmirDanilo A. EnriquezGerald L. PosnerEric A. JaffePradeep ChandraSpontaneous liver bleeding is often reported in preeclampsia. It is otherwise rare and has been linked to gross anatomical lesions and coagulopathy. We report a case of subcapsular hematoma of the liver without any apparent lesion and in the absence of coagulopathy. A 41-year-old male, paraplegic for 16 years, presented to the emergency department 3 days after sudden onset of right upper quadrant and shoulder pain. He had been on vitamins and 5,000 units subcutaneous heparin 12-hourly at the nursing home for the last month. He was in no distress, afebrile, with stable vitals. Physical examination showed a diverting colostomy, tender hepatomegaly and sacral decubiti. A fecal occult blood test was negative. There was spastic paraplegia below the level of T12. Two days after admission, the patient was afebrile and hemodynamically stable. PTT, PT, liver profile, BUN and creatinine were all normal, however his hemoglobin had dropped from 11.3 to 7.6 g/dl. An abdominal CT scan revealed an isolated 9.0 × 1.8 cm subcapsular hematoma. The patient received blood transfusion in the intensive care unit and was discharged 7 days later. In conclusion, spontaneous liver hemorrhage occurs in the nonobstetrical population in the setting of gross anatomical lesions or coagulopathy. This is the first report of an isolated subcapsular liver hematoma.http://www.karger.com/Article/FullText/326998LiverHemorrhageCoagulopathy |
| spellingShingle | Albert Ndzengue Fadi Hammoudeh Pierre Brutus Ofem Ajah Roland Purcell Joseph Leadon Richard B. Rafal Simon Balmir Danilo A. Enriquez Gerald L. Posner Eric A. Jaffe Pradeep Chandra An Obscure Case of Hepatic Subcapsular Hematoma Case Reports in Gastroenterology Liver Hemorrhage Coagulopathy |
| title | An Obscure Case of Hepatic Subcapsular Hematoma |
| title_full | An Obscure Case of Hepatic Subcapsular Hematoma |
| title_fullStr | An Obscure Case of Hepatic Subcapsular Hematoma |
| title_full_unstemmed | An Obscure Case of Hepatic Subcapsular Hematoma |
| title_short | An Obscure Case of Hepatic Subcapsular Hematoma |
| title_sort | obscure case of hepatic subcapsular hematoma |
| topic | Liver Hemorrhage Coagulopathy |
| url | http://www.karger.com/Article/FullText/326998 |
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