Subcapsular hematoma of the liver after laparoscopic cholecystectomy.
Two female patients underwent an uneventful laparoscopic chloecystectomy (LC) for cholelithiasis. Their past medical history was insignificant. The first patient had diclofenac sodium for her postoperative pain relief. Both patients returned in the early postoperative period with pain in the right hypochondrium. Laboratory investigations revealed elevated leucocytes, C reactive protein (CRP), and deranged liver function tests. A computed tomography (CT) scan showed subcapsular haematoma of liver. CT-guided aspiration of hematoma was done in one case. Both patients improved over a period of time and a follow-up radiological scan showed resolving hematoma. The presentation, diagnostic evaluation, treatment, and possible causes are discussed.
Shetty
Geeta S
GS
Department of Surgery, Gloucestershire Royal Hospital, Birdlip House, Room 6, Great Western Road, Gloucester GL1 3NN, UK. gee_shetty@yahoo.com
Falconer
J Stuart
JS
Benyounes
Hakim
H
D000368:Aged; D002763:Cholecystectomy / Q000009:adverse effects* / Q000379:methods*; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D008875:Middle Aged; D014057:Tomography, X-Ray Computed