Author, Subjects, Keywords

Cited Author

 
 
   » By Author or Editor
 » Browse Author by Alphabet
 » By Journal
 » By Subjects
 » Malaysian Journals
 » By Type
 » By Year
 » By Latest Additions
 
 
   » By Author
 » Top 20 Authors
 » Top 20 Article
 » Top Journal Cited
 » Top Article Cited
 » Journal Citation Statistics
 » Usage Since Sept 2007


 
 
 

Login | Create Account

Intrahepatic Subcapsular Hematoma Complicating Laparoscopic Cholecystectomy

Law, C.W., and Ng, C.L.L., (2008) Intrahepatic Subcapsular Hematoma Complicating Laparoscopic Cholecystectomy. Journal of the University of Malaya Medical Centre (JUMMEC), 11 (2). pp. 83-85. ISSN 1823-7339

[img]
Preview
PDF - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
156Kb

Official URL: http://jummec.um.edu.my

Affiliations

University of Malaya, Faculty of Medicine. Dept. of Surgery
University of Malaya, Faculty of Medicine. Dept. of Surgery

Abstract

A 65-year-old lady with cholelithiasis underwent an elective laparoscopic cholecystectomy (LC) and was discharged on post-operative day 2. She was re-admitted after five days with right hypochondriac pain and fever. Investigations revealed a drop in hemoglobin. Computed tomography showed a large intrahepatic subcapsular collection without intra-abdominal collection. She was treated with intravenous antibiotics. Percutaneous aspiration of intrahepatic subcapsular collection under ultrasound guidance revealed old blood. Hence diagnosis of intrahepatic subcapsular hematoma (ISH) was made. She improved and was discharged after a two weeks’ hospital stay. Follow-up ultrasonography examination two months later revealed complete resolution of the hematoma. We report this case due to its rarity and review the previously documented cases of this complication.

Item Type:Journal
Keywords:laparoscopic cholecystectomy, intrahepatic subcapsular hematoma
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:7317

1. Deziel DJ, Millikan KW, Economou SG, et al.Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases. Am J Surg 1993; 165: 9-14.

2. Nathanson LK, Shimi S, Cuschieri A. Laparoscopic cholecystectomy: the Dundee technique. Br J Surg 1991; 78:155-159.

3. Alexander HC. Two unusual hemorrhagic compli-cations during laparoscopic cholecystectomy. Surg Laparosc Endosc 1993; 3:346-348.

4. Pietra N, Sarli L, Costi R, Violi V. Intrahepatic subcapsular hematoma. A rare postoperative complication of laparoscopic cholecystectomy. Surg Laparosc Endosc 1998; 8: 304-307.

5. Erstad BL, Rappaport WD. Subcapsular hematoma after laparoscopic cholecystectomy, associated with Ketorolac administration. Pharmacotherapy 1994; 14:613- 615.

6. Ortega DP, Fernandez LR, Garcia SJ, et al. Liver hematoma following endoscopic retrograde cholangiopancreatography (ERCP). Surg Endosc 2000; 14: 767.

7. Bhandarkar DS, Katara AN, Shah RS. Intrahepatic subcapsular hematoma complicating laparoscopic cholecystectomy. Surg Endosc 2004 May;18(5):868-870. Epub 2004 Feb 2.

Repository Staff Only: item control page
 
 
 
 
 
 
© Copyright 2007 MyAIS Faculty of Computer Science and Information Technology, University of Malaya – All Rights Reserved. Malaysian Abstracting and Indexing System is powered by EPrints 3 which is developed by the School of Electronics and Computer Science at the University of Southampton. More information and software credits.