title: Delayed intrahepatic subcapsular hematoma after laparoscopic cholecystectomy.
abstract: Intrahepatic subcapsular hematoma after laparoscopic cholecystectomy is a rare complication and is potentially life threatening. When radiologic studies confirm the presence of the hematoma, the decision to follow a conservative treatment should involve clinical monitoring. If there are signs of infection, the collection can safely be drained percutaneously. If there are signs of active bleeding, a selective embolization should be attempted first. If unsuccessful, subsequent surgical evacuation should be performed. We report the case of a patient with an intrahepatic subcapsular hematoma after laparoscopic cholecystectomy, which occurred 6 weeks after surgery, and review the literature concerning the management of these bleedings.
authors.affiliation: Department of Surgery, Slotervaart Hospital, Amsterdam The Netherlands. stevedecastro@me.com
authors.forename: Steve M M
authors.initials: SM
authors.lastname: de Castro
authors.forename: Jim A
authors.initials: JA
authors.lastname: Reekers
authors.forename: Boudewijn J
authors.initials: BJ
authors.lastname: Dwars
mesh_terms: D000368:Aged; D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000601:surgery*; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D014057:Tomography, X-Ray Computed