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Right adrenal hematoma following hepatectomy
A D Gouliamos1, A Metafa, S G Ispanopoulou
1Department of Radiology, University of Athens Medical School, Areteion Hospital, Greece.
European Radiology
|May 5, 2000
Summary
Postoperative adrenal hematomas can occur after hepatectomy. Stable adrenal hematomas found after surgery may not require intervention, as shown in these cases.
Area of Science:
- Radiology
- Surgical Complications
- Hepatobiliary Surgery
Background:
- Hepatectomy, a major liver surgery, carries risks of postoperative complications.
- Adrenal hematomas are rare but potential complications following abdominal procedures.
Purpose of the Study:
- To investigate the occurrence and characteristics of adrenal hematomas after hepatectomy.
- To determine the clinical significance and management of postoperative adrenal hematomas.
Main Methods:
- Review of CT scans from 45 patients undergoing segmental hepatectomy.
- Correlation of preoperative and follow-up CT findings.
- Analysis of imaging characteristics and size stability of adrenal hematomas.
Main Results:
- Three cases of postoperative adrenal hematomas were identified among 45 patients.
- Adrenal hematomas appeared as suprarenal masses on CT scans.
- Hematomas remained stable in size for up to 12 weeks post-surgery, with decreasing attenuation values.
Conclusions:
- Adrenal hematoma is a potential complication following hepatectomy.
- Stable adrenal hematomas discovered post-hepatectomy can be managed conservatively.
- Serial CT imaging is useful for monitoring adrenal hematoma resolution.