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Published: April 2011

Open Access Gateway

An Obscure Case of Hepatic Subcapsular Hematoma

Ndzengue A. · Hammoudeh F. · Brutus P. · Ajah O. · Purcell R. · Leadon J. · Rafal R.B. · Balmir S. · Enriquez D.A. · Posner G.L. · Jaffe E.A. · Chandra P.

Author affiliations

Department of Medicine, Interfaith Medical Center, Brooklyn, N.Y., USA

Corresponding Author

Albert Ndzengue, MD

Department of Medicine, Interfaith Medical Center

1545 Atlantic Avenue, Brooklyn, NY 11213 (USA)

Tel. +1 718 613 4063, E-Mail albertndzengue@yahoo.com

Related Articles for ""

Case Rep Gastroenterol 2011;5:223–226

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Abstract

Spontaneous liver bleeding is often reported in preeclampsia. It is otherwise rare and has been linked to gross anatomical lesions and coagulopathy. We report a case of subcapsular hematoma of the liver without any apparent lesion and in the absence of coagulopathy. A 41-year-old male, paraplegic for 16 years, presented to the emergency department 3 days after sudden onset of right upper quadrant and shoulder pain. He had been on vitamins and 5,000 units subcutaneous heparin 12-hourly at the nursing home for the last month. He was in no distress, afebrile, with stable vitals. Physical examination showed a diverting colostomy, tender hepatomegaly and sacral decubiti. A fecal occult blood test was negative. There was spastic paraplegia below the level of T12. Two days after admission, the patient was afebrile and hemodynamically stable. PTT, PT, liver profile, BUN and creatinine were all normal, however his hemoglobin had dropped from 11.3 to 7.6 g/dl. An abdominal CT scan revealed an isolated 9.0 × 1.8 cm subcapsular hematoma. The patient received blood transfusion in the intensive care unit and was discharged 7 days later. In conclusion, spontaneous liver hemorrhage occurs in the nonobstetrical population in the setting of gross anatomical lesions or coagulopathy. This is the first report of an isolated subcapsular liver hematoma.

© 2011 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Published: April 2011

Published online: April 13, 2011
Issue release date: January – April

Number of Print Pages: 4
Number of Figures: 1
Number of Tables: 0


eISSN: 1662-0631 (Online)

For additional information: https://www.karger.com/CRG


Open Access License / Drug Dosage / Disclaimer

Open Access License: This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Distribution permitted for non-commercial purposes only.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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