Recurrent Spontaneous Subcapsular Hematoma of the Liver.
10.3904/kjm.2017.92.2.177
- Author:
Jae Shin CHOI
1
;
Youjin KIM
;
So Young PARK
;
Su Yeon LEE
;
Eun Jeong LEE
;
Dong Hyun SINN
Author Information
1. Department of Internal Medicine, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea. dh.sinn@samsung.com
- Publication Type:Case Report
- Keywords:
Liver;
Hematoma;
Cause;
Tamoxifen
- MeSH:
Abdominal Pain;
Emergency Service, Hospital;
Female;
Follow-Up Studies;
Hematoma*;
Humans;
Liver*;
Middle Aged;
Pregnancy;
Recurrence;
Tamoxifen
- From:Korean Journal of Medicine
2017;92(2):177-181
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A spontaneous subcapsular hematoma of the liver is an unusual clinical phenomenon and is usually associated with trauma, surgery, tumor or pregnancy. We report a case of a recurrent spontaneous subcapsular hematoma of the liver without an identifiable cause. A 52-year-old female presented to the emergency room with acute abdominal pain localized in the right upper quadrant area. Diagnostic workup revealed a subcapsular hematoma in the segment 8 area. The laboratory evaluation was also normal. She was managed conservatively. However, two months later another episode of abdominal pain in the right upper quadrant recurred. Diagnostic workup showed recurrence of a subcapsular hematoma in the segment 6 area. Follow-up evaluation revealed resorption of the previous subcapsular hematomas, as well as a new lesion in the segment 1 area. Herein, we discuss potential causes of this spontaneous subcapsular hematoma of the liver.
