Giant Intrahepatic Subcapsular Haematoma: A Rare Complication following Laparoscopic Cholecystectomy—A Case Report and Literature Review
We report on a 59-year-old female with symptomatic cholelithiasis on a background of morbid obesity who underwent an elective LC with an uncomplicated intraoperative course; however, she experienced a refractory hypotension within one hour postoperatively with an acute haemoglobin drop requiring flu...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2020/6410790 |
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| author | Eltaib Saad Lauren O’Connell Anne M. Browne W. Khan R. Waldron K. Barry Iqbal Z. Khan |
| author_facet | Eltaib Saad Lauren O’Connell Anne M. Browne W. Khan R. Waldron K. Barry Iqbal Z. Khan |
| author_sort | Eltaib Saad |
| collection | DOAJ |
| description | We report on a 59-year-old female with symptomatic cholelithiasis on a background of morbid obesity who underwent an elective LC with an uncomplicated intraoperative course; however, she experienced a refractory hypotension within one hour postoperatively with an acute haemoglobin drop requiring fluid resuscitation and blood transfusion. A triphasic computed tomography scan revealed a large intrahepatic subcapsular haematoma (ISH) measuring 21 cm×3.1 cm×17 cm surrounding the lateral surface of the right hepatic lobe without active bleeding. She was managed conservatively with serial monitoring of haemoglobin and haematoma size. A follow-up ultrasound scan after eight weeks confirmed complete resolution of the haematoma. Giant ISH is a fairly rare, but life-threatening complication following LC which merits special attention. This case demonstrates the necessity of close postoperative monitoring of patients undergoing LC and considering the possibility of ISH, although being rare event, in those who experience a refractory postoperative hypotension. It also highlights the decisive role of diagnostic imaging in securing a timely and accurate diagnosis of post LC-ISH. |
| format | Article |
| id | doaj-art-c95eac5732bd4937bf1057417a106e62 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-c95eac5732bd4937bf1057417a106e622025-02-03T01:03:58ZengWileyCase Reports in Surgery2090-69002090-69192020-01-01202010.1155/2020/64107906410790Giant Intrahepatic Subcapsular Haematoma: A Rare Complication following Laparoscopic Cholecystectomy—A Case Report and Literature ReviewEltaib Saad0Lauren O’Connell1Anne M. Browne2W. Khan3R. Waldron4K. Barry5Iqbal Z. Khan6Department of General Surgery, Mayo University Hospital, Castlebar, Co. Mayo, IrelandDepartment of General Surgery, Mayo University Hospital, Castlebar, Co. Mayo, IrelandDepartment of Radiology, Mayo University Hospital, Castlebar, Co. Mayo, IrelandDepartment of General Surgery, Mayo University Hospital, Castlebar, Co. Mayo, IrelandDepartment of General Surgery, Mayo University Hospital, Castlebar, Co. Mayo, IrelandDepartment of General Surgery, Mayo University Hospital, Castlebar, Co. Mayo, IrelandDepartment of General Surgery, Mayo University Hospital, Castlebar, Co. Mayo, IrelandWe report on a 59-year-old female with symptomatic cholelithiasis on a background of morbid obesity who underwent an elective LC with an uncomplicated intraoperative course; however, she experienced a refractory hypotension within one hour postoperatively with an acute haemoglobin drop requiring fluid resuscitation and blood transfusion. A triphasic computed tomography scan revealed a large intrahepatic subcapsular haematoma (ISH) measuring 21 cm×3.1 cm×17 cm surrounding the lateral surface of the right hepatic lobe without active bleeding. She was managed conservatively with serial monitoring of haemoglobin and haematoma size. A follow-up ultrasound scan after eight weeks confirmed complete resolution of the haematoma. Giant ISH is a fairly rare, but life-threatening complication following LC which merits special attention. This case demonstrates the necessity of close postoperative monitoring of patients undergoing LC and considering the possibility of ISH, although being rare event, in those who experience a refractory postoperative hypotension. It also highlights the decisive role of diagnostic imaging in securing a timely and accurate diagnosis of post LC-ISH.http://dx.doi.org/10.1155/2020/6410790 |
| spellingShingle | Eltaib Saad Lauren O’Connell Anne M. Browne W. Khan R. Waldron K. Barry Iqbal Z. Khan Giant Intrahepatic Subcapsular Haematoma: A Rare Complication following Laparoscopic Cholecystectomy—A Case Report and Literature Review Case Reports in Surgery |
| title | Giant Intrahepatic Subcapsular Haematoma: A Rare Complication following Laparoscopic Cholecystectomy—A Case Report and Literature Review |
| title_full | Giant Intrahepatic Subcapsular Haematoma: A Rare Complication following Laparoscopic Cholecystectomy—A Case Report and Literature Review |
| title_fullStr | Giant Intrahepatic Subcapsular Haematoma: A Rare Complication following Laparoscopic Cholecystectomy—A Case Report and Literature Review |
| title_full_unstemmed | Giant Intrahepatic Subcapsular Haematoma: A Rare Complication following Laparoscopic Cholecystectomy—A Case Report and Literature Review |
| title_short | Giant Intrahepatic Subcapsular Haematoma: A Rare Complication following Laparoscopic Cholecystectomy—A Case Report and Literature Review |
| title_sort | giant intrahepatic subcapsular haematoma a rare complication following laparoscopic cholecystectomy a case report and literature review |
| url | http://dx.doi.org/10.1155/2020/6410790 |
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