Intrahepatic subcapsular hematoma complicating laparoscopic cholecystectomy

Law, Chee Wei and Ng, Colin Leong Liong (2008) Intrahepatic subcapsular hematoma complicating laparoscopic cholecystectomy. Journal of the University of Malaya Medical Centre (JUMMEC), 11 (2). pp. 83-85. ISSN 1823-7339,

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A 65-year-old lady with cholelithiasis underwent an elective laparoscopic cholecystectomy (LC) and was discharged on post-operative day 2. She was re-admitted after five days with right hypochondriac pain and fever. Investigations revealed a drop in hemoglobin. Computed tomography showed a large intrahepatic subcapsular collection without intra-abdominal collection. She was treated with intravenous antibiotics. Percutaneous aspiration of intrahepatic subcapsular collection under ultrasound guidance revealed old blood. Hence diagnosis of intrahepatic subcapsular hematoma (ISH) was made. She improved and was discharged after a two weeks' hospital stay. Follow-up ultrasonography examination two months later revealed complete resolution of the hematoma. We report this case due to its rarity and review the previously documented cases of this complication.

Item Type: Article
Additional Information: DH
Uncontrolled Keywords: Laparoscopic cholecystectomy; intrahepatic subcapsular hematoma
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Mr Jasny Razali
Date Deposited: 20 Jul 2020 03:01
Last Modified: 20 Jul 2020 03:01

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