title: First report of hepatic hematoma after presumed Bothrops envenomation.
abstract: In Latin America, Bothrops envenomation is responsible for the majority of accidents caused by venomous snakes. Patients usually present local edema, bleeding and coagulopathy. Visceral hemorrhage is extremely rare and considered a challenge for diagnosis and management. We report the first case of hepatic hematoma owing to the bothropic envenomation in a 66-year-old man who was bitten in the left leg. He presented local edema, coagulopathy, and acute kidney injury. Radiological findings suggested hepatic hematoma, with a volume of almost 3 liters. The hepatic hematoma was gradually absorbed without the need for surgical intervention with complete resolution in 8 months.
authors.affiliation: Centro de Informações Toxicológicas, Hospital Universitário, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil.
authors.forename: Fernanda Cristina
authors.initials: FC
authors.lastname: Cunha
authors.affiliation: Centro de Informações Toxicológicas, Hospital Universitário, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil.
authors.forename: Maike
authors.initials: M
authors.lastname: Heerdt
authors.affiliation: Núcleo de Medicina Tropical, Departamento de Doenças Infecciosas e Parasitárias, Universidade de São Paulo, São Paulo, Brazil.
authors.forename: Pasesa Pascuala Quispe
authors.initials: PP
authors.lastname: Torrez
authors.affiliation: Núcleo de Medicina Tropical, Departamento de Doenças Infecciosas e Parasitárias, Universidade de São Paulo, São Paulo, Brazil.
authors.forename: Francisco Oscar de Siqueira
authors.initials: FO
authors.lastname: França
authors.affiliation: Centro de Informações Toxicológicas, Hospital Universitário, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil.
authors.forename: Graziela Zibetti Dal
authors.initials: GZ
authors.lastname: Molin
authors.affiliation: Centro de Informações Toxicológicas, Hospital Universitário, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil.
authors.forename: Rúbia
authors.initials: R
authors.lastname: Battisti
authors.affiliation: Centro de Informações Toxicológicas, Hospital Universitário, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil.
authors.forename: Marlene
authors.initials: M
authors.lastname: Zannin
mesh_terms: D000368:Aged; D000818:Animals; D017837:Bothrops; D056486:Chemical and Drug Induced Liver Injury / Q000175:diagnosis*; D003435:Crotalid Venoms / Q000506:poisoning*; D006406:Hematoma / Q000139:chemically induced* / Q000175:diagnosis; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed
chemical_list: D003435:Crotalid Venoms