Intrahepatic subcapsular hematoma complicating laparoscopic cholecystectomy
- Author:
Law CW
;
Ng CLL
- Publication Type:Case Reports
- Keywords:
laparoscopic cholecystectomy, intrahepatic subcapsular hematoma
- From:Journal of University of Malaya Medical Centre
2008;11(2):83-85
- CountryMalaysia
- Language:English
-
Abstract:
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.
