title: Spontaneous hepatic hemorrhage secondary to retained intraperitoneal gallstones.
abstract: We describe the first reported case of spontaneous hepatic hemorrhage as a result of retained gallstones in the region of Morison's pouch eroding into the liver parenchyma. The patient presented with acute right upper quadrant abdominal pain 7 months after laparoscopic cholecystectomy. She sustained an episode of limited spontaneous hepatic hemorrhage as noted by abdominal sonography, computerized tomography, and a 4-g/dL hemoglobin drop. Laparoscopic exploration revealed the source of hemorrhage to be an inflammatory source created by retained intraperitoneal gallstones.
authors.affiliation: Department of Surgery, University of Kansas School of Medicine-Wichita, 67214, USA.
authors.forename: C J
authors.initials: CJ
authors.lastname: Jost
authors.forename: J L
authors.initials: JL
authors.lastname: Smith
authors.forename: R S
authors.initials: RS
authors.lastname: Smith
mesh_terms: D002763:Cholecystectomy; D002769:Cholelithiasis / Q000150:complications* / Q000601:surgery*; D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008107:Liver Diseases / Q000209:etiology*; D008875:Middle Aged; D010532:Peritoneal Diseases / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*